Document Detail


Prokinetics and fundic relaxants in upper functional GI disorders.
MedLine Citation:
PMID:  18940266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastrointestinal prokinetics are a heterogeneous class of drugs that stimulate smooth muscle contractions to enhance gastric emptying and intestinal transit. Recently studied prokinetics include antidopaminergic agents (itopride), serotonergic agents (tegaserod and others), and motilin receptor agonists and ghrelin receptor agonists (mitemcinal, TZP101). It has been difficult to establish symptomatic benefit with prokinetic drugs in gastroparesis and functional dyspepsia, because of pathophysiological heterogeneity of the patient populations, a lack of well-accepted endpoints, and inconsistent relationships between changes in motor function and symptomatic outcome. Fundic relaxant drugs are a recent different approach to treatment of gastric motility disorders. Recently studied drugs include drugs under investigation including nitrates, serotonin reuptake blockers, 5-HT(1A) receptor agonists (buspirone and R137696), and muscarinc M1/M2 receptor antagonists (acotiamide or Z-338).
Authors:
Jan Tack
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-10-27
Journal Detail:
Title:  Current opinion in pharmacology     Volume:  8     ISSN:  1471-4892     ISO Abbreviation:  Curr Opin Pharmacol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100966133     Medline TA:  Curr Opin Pharmacol     Country:  England    
Other Details:
Languages:  eng     Pagination:  690-6     Citation Subset:  IM    
Affiliation:
Center for Gastroenterological Research, KU Leuven, Belgium. Jan.Tack@med.kuleuven.ac.be
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MeSH Terms
Descriptor/Qualifier:
Animals
Gastric Fundus / drug effects*,  pathology,  physiopathology
Gastrointestinal Agents / pharmacology,  therapeutic use*
Gastrointestinal Diseases / drug therapy*,  physiopathology
Gastrointestinal Motility / drug effects
Humans
Models, Biological
Muscle Relaxation / drug effects
Muscle, Smooth / drug effects*,  pathology,  physiopathology
Upper Gastrointestinal Tract / drug effects*,  pathology,  physiopathology
Chemical
Reg. No./Substance:
0/Gastrointestinal Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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