Clinical significance of α1-adrenoceptor selectivity in the management of benign prostatic hyperplasia

被引:27
作者
Pool J.L. [1 ]
Kirby R.S. [2 ]
机构
[1] Department of Medicine, Baylor College of Medicine, Houston, TX 77030, One Baylor Plaza
[2] St. George's Hospital, London WIG 6DE
关键词
Public Health; Adverse Effect; Clinical Significance; Clinical Benefit; Benign Prostatic Hyperplasia;
D O I
10.1023/A:1019504703485
中图分类号
学科分类号
摘要
Alpha1-adrenoceptor antagonists have been shown to provide effective relief from symptoms of benign prostatic hyperplasia (BPH) with attendant improvements in quality of life. Although the α1A-adrenoceptor subtype predominates over other subtypes of α1 adrenoceptors in the prostate gland, there is no evidence that a subselective α-adrenoceptor antagonist provides a clinical advantage over a selective α1-adrenoceptor antagonist in the treatment of patients with BPH. The pharmacokinetic profiles of α1A-adrenoceptor antagonists and their documented penetration of the blood-brain barrier (CNS adverse effects) preclude a clinical benefit of subselective α-adrenoceptor blockers over selective α1 blockers.
引用
收藏
页码:407 / 412
页数:5
相关论文
共 44 条
[1]  
Oesterling J.E., Benign prostatic hyperplasia. Its natural history, epidemiologic characteristics, and surgical treatment, Arch Fam Med, 1, (1992)
[2]  
Tammela T., Benign prostatic hyperplasia, Drugs Aging, 10, (1997)
[3]  
Bylund B., Eikenberg D., Hiebel J., Et al., International Union of Pharmacology nomenclature of adrenoceptors, Pharmacol Rev, 46, (1994)
[4]  
Hieble J.P., Bylund D.B., Clarke D.E., Et al., International Union of Pharmacology. X. Recommendation for nomenclature of alpha 1-adrenoceptors: Consensus update, Pharmacol Rev, 47, (1995)
[5]  
Barry M.J., Cockett A.T., Holtgrewe H.L., Et al., Relationship of symptoms of prostatism to commonly used physiological and anatomical measures of the severity of benign prostatic hyperplasia, J Urol, 150, (1993)
[6]  
Berry S., Coffey D., Wash P., Ewing L., The development of benign prostatic hyperplasia, J Urol, 132, (1984)
[7]  
Abrams P., New words for old: Lower urinary tract symptoms for "prostatism, Br Med J, 308, (1994)
[8]  
Caine M., The present role of alpha-adrenergic blockers in the treatment of benign prostatic hypertrophy, J Urol, 136, (1986)
[9]  
Furuya S., Kumamoto Y., Yokoyama E., Et al., Alpha-adrenergic activity and urethral pressure in prostatic zone in benign prostatic hypertrophy, J Urol, 128, (1982)
[10]  
Caine M., Raz S., Some clinical implications of adrenergic receptors in the urinary tract, Arch Surg, 110, (1975)