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每日一次美金刚:在欧盟中用于治疗中重度阿尔茨海默病的指导。

Once-daily memantine: a guide to its use in moderate to severe Alzheimer's disease in the EU.

机构信息

Adis, 41 Centorian Drive, Private Bag 65901, Mairangi Bay, North Shore, Auckland, New Zealand.

出版信息

Drugs Aging. 2013 Jan;30(1):51-8. doi: 10.1007/s40266-012-0041-0.

DOI:10.1007/s40266-012-0041-0
PMID:23229767
Abstract

In the EU, once-daily memantine 20 mg (Axura(®), Ebixa(®)) is an option for the management of patients with moderate to severe Alzheimer's disease (AD). In pooled clinical trials and studies in the clinical practice setting, memantine 20 mg/day improved cognition, functional ability and behavioural symptoms in this patient population. The beneficial effects of memantine are associated with delays in the need for full-time care, which were predicted to result in cost savings relative to standard care in recent cost-utility analyses in patients with moderate to severe AD conducted in EU countries. Memantine is well tolerated, with an adverse event profile that is similar to that with placebo.

摘要

在欧盟,每日一次给予 20 毫克美金刚(Axura(®),Ebixa(®))是治疗中重度阿尔茨海默病(AD)患者的一种选择。在汇总的临床试验和临床实践研究中,每日 20 毫克美金刚可改善该患者人群的认知功能、功能能力和行为症状。美金刚的有益作用与需要全职护理的时间延迟相关,最近在欧盟国家进行的中重度 AD 患者成本效用分析预测,与标准护理相比,这将导致成本节省。美金刚具有良好的耐受性,其不良事件谱与安慰剂相似。

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Efficacy of memantine in delaying clinical worsening in Alzheimer's disease (AD): responder analyses of nine clinical trials with patients with moderate to severe AD.美金刚治疗阿尔茨海默病(AD)患者临床恶化的疗效:9 项中重度 AD 患者临床试验的应答者分析。
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Economic evaluation of treatment options in patients with Alzheimer's disease: a systematic review of cost-effectiveness analyses.阿尔茨海默病患者治疗方案的经济评价:成本效益分析的系统评价。
Drugs. 2012 Apr 16;72(6):789-802. doi: 10.2165/11631830-000000000-00000.
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Does pharmacological treatment of neuropsychiatric symptoms in Alzheimer's disease relieve caregiver burden?
阿尔茨海默病患者神经精神症状的药物治疗能否减轻照料者负担?
Drugs Aging. 2012 Mar 1;29(3):167-179. doi: 10.2165/11599140-000000000-00000.
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The costs of Alzheimer's disease and the value of effective therapies.阿尔茨海默病的成本与有效疗法的价值。
Am J Manag Care. 2011 Nov;17 Suppl 13:S356-62.
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Effective pharmacological management of Alzheimer's disease.阿尔茨海默病的有效药物治疗管理。
Am J Manag Care. 2011 Nov;17 Suppl 13:S346-55.
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Current and emerging drug treatment options for Alzheimer's disease: a systematic review.当前和新兴的阿尔茨海默病药物治疗选择:系统评价。
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Cost-effectiveness of memantine in moderate and severe Alzheimer's disease in Norway.美金刚治疗挪威中重度阿尔茨海默病的成本效果分析。
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