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患者与医疗服务提供者对长效注射用抗精神病药物治疗精神分裂症及奥氮平长效注射剂引入的看法。

Patient and Health Care Provider Perspectives on Long Acting Injectable Antipsychotics in Schizophrenia and the Introduction of Olanzapine Long-Acting Injection.

作者信息

Wehring Heidi J, Thedford Sheryl, Koola Maju, Kelly Deanna L

机构信息

Maryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

J Cent Nerv Syst Dis. 2011 Jun 1;2011(3):107-123. doi: 10.4137/JCNSD.S4091.

DOI:10.4137/JCNSD.S4091
PMID:23293546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3535454/
Abstract

Olanzapine long acting injection has joined risperidone and paliperidone as the second generation long acting antipsychotic injection options for treatment of patients with schizophrenia. Long acting injections are important alternatives to oral medications for patients who have difficulty adhering to daily or multiple daily medication administrations, yet may be underutilized or not well understood. Patient perceptions, adherence, and preferences are important issues for health care providers to address when discussing treatment options with their patients. Reviewed here are overall patient and health care provider attitudes and perceptions regarding long acting injections and the details of olanzapine long acting injectable, the newest agent, and how it will fit in the marketplace. In addition, efficacy, safety, dosing and use data regarding this newest long acting agent are reviewed and compared to other available long acting agents.

摘要

奥氮平长效注射剂已与利培酮和帕利哌酮一起,成为治疗精神分裂症患者的第二代长效抗精神病注射剂选择。对于难以坚持每日或每日多次服药的患者,长效注射剂是口服药物的重要替代方案,但可能未得到充分利用或未被充分理解。在与患者讨论治疗方案时,患者的认知、依从性和偏好是医疗保健提供者需要解决的重要问题。本文回顾了患者和医疗保健提供者对长效注射剂的总体态度和认知,以及最新药物奥氮平长效注射剂的详细情况,及其在市场中的定位。此外,还对这种最新长效药物的疗效、安全性、给药和使用数据进行了回顾,并与其他可用的长效药物进行了比较。

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本文引用的文献

1
Dose-associated changes in safety and efficacy parameters observed in a 24-week maintenance trial of olanzapine long-acting injection in patients with schizophrenia.在一项为期 24 周的奥氮平长效注射治疗精神分裂症患者的维持试验中,观察到与剂量相关的安全性和疗效参数的变化。
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A double-blind study of paliperidone palmitate and risperidone long-acting injectable in adults with schizophrenia.棕榈酸帕利哌酮与利培酮长效针剂治疗成人精神分裂症的双盲研究。
Prog Neuropsychopharmacol Biol Psychiatry. 2011 Jan 15;35(1):218-26. doi: 10.1016/j.pnpbp.2010.11.008. Epub 2010 Nov 16.
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Patient perspectives on antipsychotic treatments and their association with clinical outcomes.患者对抗精神病药物治疗的看法及其与临床结果的关联。
Patient Prefer Adherence. 2010 Oct 5;4:369-77. doi: 10.2147/ppa.s12461.
6
Dose correspondence between olanzapine long-acting injection and oral olanzapine: recommendations for switching.奥氮平长效注射剂与口服奥氮平的剂量转换:转换建议。
Int Clin Psychopharmacol. 2011 Jan;26(1):35-42. doi: 10.1097/YIC.0b013e32834093d1.
7
Long-acting injectable antipsychotics: focus on olanzapine pamoate.长效注射用抗精神病药:以棕榈酸奥氮平为重点。
Neuropsychiatr Dis Treat. 2010 Jun 24;6:261-7. doi: 10.2147/ndt.s3072.
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Health professionals' attitudes to depot injection antipsychotic medication: a systematic review.卫生专业人员对长效注射抗精神病药物的态度:系统评价。
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Psychiatrists' attitude to antipsychotic depot treatment in patients with first-episode schizophrenia.精神科医生对首发精神分裂症患者使用长效抗精神病药物治疗的态度。
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Post-injection delirium/sedation syndrome in patients with schizophrenia treated with olanzapine long-acting injection, II: investigations of mechanism.奥氮平长效注射剂治疗精神分裂症患者的注射后谵妄/镇静综合征,II:机制研究。
BMC Psychiatry. 2010 Jun 10;10:45. doi: 10.1186/1471-244X-10-45.