高醫、台大等七間醫院,首度跨院做使蒂諾斯(Stilnox, Zolpidem)夢遊副作用本土調查,結果顯示二成三服藥者曾夢遊(出現走路、進食或與人對話等),這項研究已登上《臨床精神醫學雜誌》國際期刊。
Stilnox是最高知名度的安眠藥,2004年上市後,在全球都有相當高的銷售量,因為安眠入睡的效果明確,受到許多失眠者的愛用。不過,它所帶來的副作用,也衍生出很多新的問題。
以23%的人曾經夢遊來說,這就是相當高的比例;而沒有夢遊的患者,也會有其他的副作用。在夢遊中,當事人不知道自己作什麼,事後也會失憶。所以,服藥之後的夢遊,有人外出車禍,有人暴食變胖,有人自殺/自傷,有人裸體上街,有人「被發生」性行為,各種怪事一一出現。這對患者造成的傷害,甚至還超過失眠本身。
站在我們的角度來看,這種效果只有「一次性」、必須有吃才有效的藥物,都不是「治癒疾病」的方法。事實上,大多數的長期失眠者,幾乎都是「終生」服用安眠藥,而且還越吃越重,副作用越來越多。這種從來就不是要「治好」失眠的藥物,它只是讓人有睡意,可以暫時睡著。因為安眠藥不解決患者「無法入睡」的真正原因,所以,只能「治標不治本」,有吃就能睡,沒吃睡不著。
另外一個問題,靠安眠藥入睡之後,醒來往往沒有正常人「睡醒神清氣爽」的感覺,反而容易有某種程度的「渾渾噩噩感」。這意味著,人是睡了,但身體/精神並沒有得到相應的徹底休息。長此以往,人體還會產生更多疾病的。
治癒失眠症,意味著「停藥之後」也能獲得良好的睡眠,這才是全球患者真正需要的解答。
因此,別再把「靠安眠藥入睡」當作是正常的事,因為這是病態的現象。讓失眠者擺脫安眠藥之後,依然睡得好,才是醫師該作的事情。這一點對中醫而言,並●不●難。
參考資料:
安眠藥stilnox 的夢遊症 http://maplesu.pixnet.net/blog/post/252783065-%E5%AE%89%E7%9C%A0%E8%97%A5stilnox%E7%9A%84%E5%A4%A2%E9%81%8A%E7%97%87
使蒂諾斯助眠 23%會夢遊 http://apple.nextmedia.tw/news/life/20160331/37244945/privacy

洪凱駖藥師~ Solving a long-standing mystery about the desert’s rock art canvas Petroglyphs are carved in a material called rock varnish, the origins of which have been debated for years. Now, scientists argue it’s the result of bacteria and an adaptation that protects them from the desert sun’s harsh rays. By Nathan Collins 5923141600_1bc3f25867_k.jpg Rock art featuring human and animal forms and handprints Petroglyphs at Mesa Verde National Park, Colorado (Christine Fry & Peter Russo) Wander around a desert most anywhere in the world, and eventually you’ll notice dark-stained rocks, especially where the sun shines most brightly and water trickles down or dew gathers. In some spots, if you’re lucky, you might stumble upon ancient art – petroglyphs – carved into the stain. For years, however, researchers have understood more about the petroglyphs than the mysterious dark stain, called rock varnish, in which they were drawn. In particular, science has yet to come to a conclusion about where rock varnish, which is unusually rich in manganese, comes from. Now, scientists at the California Institute of Technology, the Department of Energy’s SLAC National Accelerator Laboratory and elsewhere think they have an answer. According to a recent paper in Proceedings of the National Academy of Sciences, rock varnish is left behind by microbial communities that use manganese to defend against the punishing desert sun. The mystery of rock varnish is old, said Usha Lingappa, a graduate student at Caltech and the study’s lead author. “Charles Darwin wrote about it, Alexander von Humboldt wrote about it,” she said, and there is a long-standing debate about whether it has a biological or inorganic origin. But, Lingappa said, she and her colleagues didn’t actually set out to understand where rock varnish comes from. Instead, they were interested in how microbial ecosystems in the desert interact with rock varnish. To do so, they deployed as many techniques as they could come up with: DNA sequencing, mineralogical analyses, electron microscopy, and – aided by Stanford Synchroton Radiation Lightsource (SSRL) scientist Samuel Webb – advanced X-ray spectroscopy methods that could map different kinds of manganese and other elements within samples of rock varnish. “By combining these different perspectives, maybe we could draw a picture of this ecosystem and understand it in new ways,” Lingappa said. “That’s where we started, and then we just stumbled into this hypothesis” for rock varnish formation. Among the team’s key observations was that, while manganese in desert dust is usually in particle form, it was deposited in more continuous layers in varnish, a fact revealed by X-ray spectroscopy methods at SSRL that can tell not only what chemical compounds make up a sample but also how they are distributed, on a microscopic scale, throughout the sample. That same analysis showed that the kinds of manganese compounds in varnish were the result of ongoing chemical cycles, rather than being left out in the sun for millennia. That information, combined with the prevalence of bacteria called Chroococcidiopsis that use manganese to combat the oxidative effects of the harsh desert sun, led Lingappa and her team to conclude that rock varnish was left behind by those bacteria. For his part, Webb said that he always enjoys a manganese project – “I’ve been a mangaphile for a while now” – and that this project arrived at the perfect time, given advances in X-ray spectroscopy at SSRL. Improvements in X-ray beam size allowed the researchers to get a finer-grained picture of rock varnish, he said, and other improvements ensured that they could get a good look at their samples without the risk of damaging them. “We’re always tinkering and fine-tuning things, and I think it was the right time for a project that maybe 5 or 10 years ago wouldn’t really have been feasible.” The research was supported by the National Science Foundation, the National Institutes of Health and the National Aeronautics and Space Administration. SSRL is a DOE Office of Science user facility. Citation: Usha F. Lingappa et al., Proceedings of the National Academy of Sciences, 22 June 2021 (10.1073/pnas.2025188118) For questions or comments, contact the SLAC Office of Communications at communications@slac.stanford.edu. SLAC is a vibrant multiprogram laboratory that explores how the universe works at the biggest, smallest and fastest scales and invents powerful tools used by scientists around the globe. With research spanning particle physics, astrophysics and cosmology, materials, chemistry, bio- and energy sciences and scientific computing, we help solve real-world problems and advance the interests of the nation. SLAC is operated by Stanford University for the U.S. Department of Energy’s Office of Science. The Office of Science is the single largest supporter of basic research in the physical sciences in the United States and is working to address some of the most pressing challenges of our time. X-ray Science X-ray Spectroscopy Stanford Synchrotron Radiation Lightsource (SSRL)
這個很明顯是來亂的。這是一個真正很【醫學專業】的地方!此【醫學專業】不是那些所謂的科學,以及很會講,很會寫,很會制定遊戲規則的西藥資本利益集團們口中的【醫學專業】,結果是天天把人不用死的給醫死! 這樣再會講,再會寫,再偉大科學又屁如何呢? ? 建議管理把這篇來亂貼的文字給撤了吧!去它應該去的地方! 以還我們一個乾淨+專業的淨土!
是啊,幹嘛要發英文呢?是要展現什麼嗎?還是要掩飾什麼?這麼沒有自信啊?這麼喜歡寫英文就去歸化為美國藉啦!而且重點是,你發這個到這個地方做什麼?又不是醫學的東西!腦子進水了嗎?