Howland Robert H
University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
J Psychosoc Nurs Ment Health Serv. 2011 Apr;49(4):13-5. doi: 10.3928/02793695-20110311-99. Epub 2011 Mar 30.
This article briefly reviews the novel atypical second-generation antipsychotic drugs iloperidone (Fanapt®), asenapine (Saphris®), and lurasidone (Latuda®), all of which have been approved by the U.S. Food and Drug Administration since 2009. Each is indicated for the treatment of schizophrenia, and asenapine has an additional indication for bipolar disorder. Very little information is available on their use in other disorders, pediatric and geriatric patients, and during pregnancy and breastfeeding. Their overall efficacy is no different than other antipsychotic drugs, but they do have different side effect profiles. Because of their unique pharmacologies and different tolerability profiles, they may be a more effective alternative for patients who do not respond to or cannot tolerate other antipsychotic drugs.
本文简要回顾了新型非典型第二代抗精神病药物伊潘立酮(Fanapt®)、阿立哌唑(Saphris®)和鲁拉西酮(Latuda®),自2009年以来,这些药物均已获得美国食品药品监督管理局的批准。每种药物都被用于治疗精神分裂症,阿立哌唑还可用于治疗双相情感障碍。关于它们在其他疾病、儿科和老年患者以及妊娠和哺乳期的使用信息非常少。它们的总体疗效与其他抗精神病药物并无差异,但副作用有所不同。由于它们独特的药理作用和不同的耐受性,对于那些对其他抗精神病药物无反应或不能耐受的患者而言,它们可能是更有效的替代药物。