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伐地那非在现实生活中的安全性和有效性:一项对来自中东地区2824例患者的国际上市后监测研究。

The real-life safety and efficacy of vardenafil: an international post-marketing surveillance study of 2824 patients from the Middle East.

作者信息

Kamel A, Khaouli R, Sabha M, Al Mitwally K, Fouad W, Landen H

机构信息

German Polyclinic, Dubai, United Arab Emirates.

出版信息

Clin Drug Investig. 2007;27(5):339-46. doi: 10.2165/00044011-200727050-00005.

Abstract

OBJECTIVE

To assess the safety, efficacy and patient acceptability of vardenafil treatment under real-life conditions in patients with erectile dysfunction (ED).

METHODS

The present publication shows the results of a subgroup analysis of a multinational post-marketing surveillance study, including 2824 Middle East patients with ED whose attending physician chose vardenafil as the most appropriate therapy. Patients were assessed at an initial visit for demographic and baseline characteristics. At one or two follow-up visits, covering a period of approximately 2 months or eight vardenafil intakes, patients were interviewed about overall treatment success (general improvement of erection, number of tablets taken until improvement, patient's satisfaction with overall efficacy and tolerability, comparison with last ED treatment). All adverse events were recorded and assessed for a possible relationship to treatment, and for severity.

RESULTS

An overall improvement in erections was reported in 94.3% of patients. Most patients achieved treatment success after the first (67.0%) or second (83.6% cumulative) tablet. Diabetic patients had a similar improvement rate (92.2%) and 73.5% of patients who had undergone radical prostatectomy reported an overall improvement. The rate of adverse drug reactions (ADRs) was low (9.1% of patients). The most common ADRs were headache (5.8%), flushing (1.6%), nasal congestion (1.0%), dyspepsia (0.6%) and nausea (0.5%). In total, 88.9% of patients wanted to continue treatment with vardenafil.

CONCLUSION

Vardenafil was effective, reliable and well tolerated in patients with ED treated under real-life conditions.

摘要

目的

评估在现实生活条件下,伐地那非治疗勃起功能障碍(ED)患者的安全性、有效性及患者可接受性。

方法

本出版物展示了一项多国上市后监测研究的亚组分析结果,该研究纳入了2824例中东地区的ED患者,其主治医生选择伐地那非作为最合适的治疗方法。在初次就诊时对患者进行人口统计学和基线特征评估。在一次或两次随访中,随访期约为2个月或服用八次伐地那非,就总体治疗成功情况(勃起总体改善情况、改善前服用的药片数量、患者对总体疗效和耐受性的满意度、与上次ED治疗的比较)对患者进行访谈。记录所有不良事件,并评估其与治疗的可能关系及严重程度。

结果

94.3%的患者报告勃起有总体改善。大多数患者在服用第一片(67.0%)或第二片(累计83.6%)后取得治疗成功。糖尿病患者的改善率相似(92.2%),73.5%接受过前列腺根治术的患者报告有总体改善。药物不良反应(ADR)发生率较低(9.1%的患者)。最常见的ADR是头痛(5.8%)、面部潮红(1.6%)、鼻塞(1.0%)、消化不良(0.6%)和恶心(0.5%)。总计88.9%的患者希望继续使用伐地那非治疗。

结论

在现实生活条件下接受治疗的ED患者中,伐地那非有效、可靠且耐受性良好。

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