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治疗痤疮的新型药物。

Emerging drugs for the treatment of acne.

作者信息

Aslam Imran, Fleischer Alan, Feldman Steve

机构信息

Wake Forest School of Medicine, Center for Dermatology Research, Department of Dermatology, Medical Center Boulevard , Winston-Salem, NC 27157-1071 , USA

出版信息

Expert Opin Emerg Drugs. 2015 Mar;20(1):91-101. doi: 10.1517/14728214.2015.990373. Epub 2014 Dec 4.

Abstract

INTRODUCTION

Acne is the most common skin condition in the US. The mainstay of acne therapy includes: topical retinoids, topical antibiotics, benzoyl peroxide (BP), and oral isotretinoin for severe cases. Although these treatment options are highly effective they do have certain drawbacks. Current acne treatment regimens often require patients to use multiple medications, some of which may have irritating side effects. Furthermore, Propionibacterium acnes resistance to antibiotics has become an increasing problem due to the rise in antibiotic use.

AREAS COVERED

New therapies that have either been released onto the market or that are being developed include: adapalene-BP combination agent, dapsone 5% gel, minocycline foam, topical nitric oxide-releasing agent, cortexolone 17 α-propionate, and CIP isotretinoin. Some of these new therapies address the challenges faced with existing treatment options. For instance, the relatively new combination therapy, adapalene-BP, limits antibiotic resistance and also helps simplify treatment regimens. The newly developed topical nitric oxide-releasing agent also holds potential in limiting antibiotic resistance.

EXPERT OPINION

Many of the new therapies discussed in this paper are still in early stages of testing so it is difficult to predict their outlook; however, based on preliminary findings, these therapies seem to be promising.

摘要

引言

痤疮是美国最常见的皮肤疾病。痤疮治疗的主要方法包括:外用维甲酸、外用抗生素、过氧化苯甲酰(BP)以及用于严重病例的口服异维甲酸。尽管这些治疗方法非常有效,但确实存在某些缺点。当前的痤疮治疗方案通常要求患者使用多种药物,其中一些可能有刺激性副作用。此外,由于抗生素使用增加,痤疮丙酸杆菌对抗生素的耐药性已成为一个日益严重的问题。

涵盖领域

已投放市场或正在研发的新疗法包括:阿达帕林 - BP 联合制剂、5% 氨苯砜凝胶、米诺环素泡沫剂、外用一氧化氮释放剂、17α - 丙酸皮质酮以及 CIP 异维甲酸。其中一些新疗法应对了现有治疗方法所面临的挑战。例如,相对较新的联合疗法阿达帕林 - BP 可限制抗生素耐药性,还有助于简化治疗方案。新研发的外用一氧化氮释放剂在限制抗生素耐药性方面也具有潜力。

专家意见

本文讨论的许多新疗法仍处于测试的早期阶段,因此难以预测它们的前景;然而,基于初步研究结果,这些疗法似乎很有前景。

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