離胺酸
Lysine
L-2,6-diaminohexanoic acid
別名: Viralys · Enisyl · Incremin · LLysine Powder-Pure · L-lysine · K · Lysine hydrochloride
由 VetSheet 獸醫團隊審訂更新於 2026年4月5日本內容以實證獸醫文獻為本
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
各物種劑量
🌎 NA — North America🌍 EU — Europe
貓
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| To prevent or reduce recurrent feline herpesvirus ocular infections | 500 mg PO twice daily for life | PO | q12h | for life | 🌎 NA |
| To prevent or reduce recurrent feline herpesvirus ocular infections | 500 mg mixed with food daily | PO | q24h | — | 🌎 NA |
| To prevent or reduce recurrent feline herpesvirus ocular infections | 250 mg PO twice daily | PO | q12h | — | 🌎 NA |
| As adjunctive therapy for feline herpesvirus dermatologic infections | 250 mg PO twice daily | PO | q12h | — | 🌎 NA |
| As adjunctive therapy for feline herpesvirus dermatologic infections | 250 mg PO once to twice daily | PO | q12h-q24h | — | 🌎 NA |
| Feline herpesvirus-1 (FHV-1) infection management | 500 mg | PO | q12-24h | — | 🌍 EU |
| Feline herpesvirus-1 (FHV-1) infection management | 250 mg | PO | q12-24h | — | 🌍 EU |
- Feline herpesvirus-1 (FHV-1) infection management: Adults. Equivalent to 2 ml/2 pumps q12h.
- Feline herpesvirus-1 (FHV-1) infection management: Kittens. Equivalent to 1 ml/1 pump q12h.
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
概覽
離胺酸是一種營養性胺基酸,傳統上被用於獸醫學中以抑制貓的貓皰疹病毒-1 (FHV-1) 感染。
臨床爭議:儘管過去廣受歡迎,但近期嚴謹的研究對其療效提出了重大質疑。研究指出,補充離胺酸並不能預防或減少收容所貓咪上呼吸道感染的復發。在某些研究中,接受離胺酸的貓咪甚至出現疾病嚴重程度和 FHV-1 DNA 檢出率增加的情況。因此,許多獸醫眼科和傳染病專家已不再建議常規使用。
作用機制
Lysine is an amino acid that acts as a competitive antagonist to arginine during viral replication.
- Mechanism: Herpesviruses require arginine to synthesize viral proteins and produce infective viral particles.
- Pathway: Lysine competes with arginine → Lysine is erroneously incorporated into the viral structure instead of arginine → The resulting viral particles are defective and less infective.
Note: The clinical failure of this mechanism in cats may be due to the feline's strict dietary requirement for arginine; artificially lowering arginine activity via lysine supplementation can have detrimental systemic effects.
安全性與警告
禁忌症
- No specific contraindications noted
- Preparations containing propylene glycol (toxic to cats)
不良反應
- Abdominal pain
- Diarrhea
- Nausea
- Vomiting
- Diarrhoea (mild, reversible)
注意事項
There are no specific contraindications, but caution is advised regarding its clinical utility. Recent evidence suggests it may lack efficacy for FHV-1 and could potentially exacerbate upper respiratory disease in shelter environments. Safety in pregnant animals other than rats has not been established.
藥物相互作用
May negate the anti-herpesvirus effects of lysine
Concomitant use may increase calcium absorption from the gut and decrease calcium loss in the urine
監測
- Clinical signs of herpesvirus infection (ocular and respiratory symptoms)
- Clinical signs of FHV-1 (ocular and respiratory signs)
- Gastrointestinal tolerance (monitoring for diarrhoea)
過量
Significant toxicity is highly unlikely.
- Clinical Signs: Mild gastrointestinal effects such as nausea, vomiting, and diarrhea may occur with massive ingestions.
- Management: Supportive care as needed; usually self-limiting.
可用產品
劑型
- Oral gel
- Oral powder
- Oral tablets
- Oral capsules
- 250 mg/ml oral paste
- 250 mg oral capsule
- 500 mg oral capsule
獸醫用
- Viralys Gel: 250 mg per 1.25 mL
- Viralys Powder: 250 mg per rounded scoop
- LLysine Powder-Pure Feed Additive (for horses)
- Enisyl 250 mg/ml oral paste (100 ml bottle)
- 250 mg capsules
- 500 mg capsules
人用標示
- Enisyl Tablets & Capsules: 312 mg, 334 mg, 500 mg & 1000 mg
- Various generic OTC tablets and capsules (250 mg to 1000 mg)
各地核准狀態
General sale.
General sale.
暫無法規資料: 🇺🇸 US · 🇭🇰 HK · 🇹🇼 TW · 🇯🇵 JP · 🇰🇷 KR · 🇦🇺 AU
儲存與穩定性
Unless otherwise specified on the label, lysine should be stored at room temperature in tight containers.
飼主須知
餵食技巧
- 最簡單的餵食方式是將錠劑壓碎或打開膠囊,將粉末直接混入貓咪的濕食中。
- 與食物一起服用時,極少會引起腸胃不適。
預期效果
- 離胺酸無法治癒皰疹病毒感染。如果有效,它只能透過減輕發作的嚴重程度和頻率來幫助控制病情。
- 可能需要終身治療來控制慢性感染。
重要警告:如果您購買的是人類用的非處方液體產品,請避免使用含有丙二醇 (propylene glycol) 的產品,因為這對貓咪有毒。
VetSheet 藥物參考供持牌獸醫專業人員作臨床決策輔助之用,不能取代專業判斷或廠方最新藥品說明書。
