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2008年停用的精神科药物。

Discontinued psychiatric drugs in 2008.

作者信息

Kirchhoff Victoria D, Nguyen Ha T T, Soczynska Joanna K, Woldeyohannes Hanna, McIntyre Roger S

机构信息

University of Hamburg, Hamburg, Germany.

出版信息

Expert Opin Investig Drugs. 2009 Oct;18(10):1431-43. doi: 10.1517/13543780903184591.

Abstract

During the past several decades, neuropsychiatric agents have been one of the fastest growing classes of medicinal agents. This expansion is in part due to the increased recognition of the prevalence and burden of illness associated with disparate neuropsychiatric disorders, increased public awareness and possibly reduced stigma associated with mental illness, as well as extensive marketing of neuropsychiatric agents to healthcare providers. Most of the agents reviewed herein represent modifications and/or refinements of pre-existing agents and/or theoretical approaches (e.g., monoamine hypothesis). There remains a relative paucity of agents with genuinely novel mechanisms targeting effector systems implicated in contemporary models of disease pathophysiology in mood and psychotic disorders (e.g., glutamate, insulin, brain derived neurotrophic factor and other growth factors, immunoinflammatory systems and oxidative stress).

摘要

在过去几十年中,神经精神药物一直是增长最快的药物类别之一。这种扩张部分归因于对与各种神经精神疾病相关的疾病患病率和负担的认识增加、公众意识的提高以及与精神疾病相关的耻辱感可能降低,以及神经精神药物向医疗保健提供者的广泛营销。本文审查的大多数药物代表了现有药物和/或理论方法(例如单胺假说)的修改和/或改进。针对情绪和精神障碍的当代疾病病理生理学模型中涉及的效应系统(例如谷氨酸、胰岛素、脑源性神经营养因子和其他生长因子、免疫炎症系统和氧化应激)具有真正新机制的药物仍然相对较少。

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