Cơ Chế Tác Dụng :
Ephedra is an alkaloid chemical compound traditionally obtained from the plant Ephedra sinica. The sale of ephedra-containing supplements was banned in the United States in 2004. The drug is still sold in Canada in OTC formulations.
The alkaloids ephedrine and pseudoephedrine are the active constituents of Ephedra. Pseudoephedrine is used in over-the-counter decongestants. Derivatives of ephedrine are used to treat low blood pressure, but alternatives with reduced cardiovascular risk have replaced it for treating asthma. Ephedrine is also considered a performance-enhancing drug and is prohibited in most competitive sports. Ephedrine is a sympathomimetic amine - that is, its principal mechanism of action relies on its direct and indirect actions on the adrenergic receptor system, which is part of the sympathetic nervous system. Ephedrine increases post-synaptic noradrenergic receptor activity by (weakly) directly activating post-synaptic α-receptors and β-receptors, but the bulk of its effect comes from the pre-synaptic neuron being unable to distinguish between real adrenaline or noradrenaline from ephedrine. The ephedrine, mixed with noradrenaline, is transported through the noradrenaline reuptake complex and packaged (along with real noradrenaline) into vesicles that reside at the terminal button of a nerve cell. Ephedrine's action as an agonist at most major noradrenaline receptors and its ability to increase the release of both dopamine and to a lesser extent, serotonin by the same mechanism is presumed to have a major role in its mechanism of action.
Chỉ Định :
Ephedra is widely used by athletes, despite a lack of evidence that it enhances athletic performance. Ephedra has also been used for weight loss.
Tương Tác Thuốc :
-
Amitriptyline
The tricyclic antidepressant, amitriptyline, increases the sympathomimetic effect of ephedra.
-
Amoxapine
The tricyclic antidepressant, amoxapine, increases the sympathomimetic effect of ephedra.
-
Clomipramine
The tricyclic antidepressant, clomipramine, increases the sympathomimetic effect of ephedra.
-
Desipramine
The tricyclic antidepressant, desipramine, increases the sympathomimetic effect of ephedra.
-
Doxepin
The tricyclic antidepressant, doxepin, increases the sympathomimetic effect of ephedra.
-
Guanethidine
Ephedra may decrease the effect of guanethidine.
-
Imipramine
The tricyclic antidepressant, imipramine, increases the sympathomimetic effect of ephedra.
-
Isocarboxazid
Increased arterial pressure
-
Linezolid
Possible increase of arterial pressure
-
Methyldopa
Increased arterial pressure
-
Midodrine
Increased arterial pressure
-
Moclobemide
Moclobemide increases the sympathomimetic effect of ephedra.
-
Nortriptyline
The tricyclic antidepressant, nortriptyline, increases the sympathomimetic effect of ephedra.
-
Phenelzine
Increased arterial pressure
-
Rasagiline
Increased arterial pressure
-
Reserpine
Increased arterial pressure
-
Trandolapril
Ephedra may antagonize the antihypertensive effect of Trandolapril. Monitor Trandolapril efficacy.
Liều Lượng & Cách Dùng :
Capsule - Oral
Liquid - Oral
Powder, for solution - Oral
Solution / drops - Oral
Tablet - Oral