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[喹硫平缓释片在精神障碍治疗中的地位]

[The place of quetiapine extended release in the treatment of mental disorders].

作者信息

Styczeń Krzysztof, Datka Wojciech, Jaeschke Rafał, Drozdowicz Katarzyna, Siwek Marcin, Dudek Dominika

机构信息

Zakład Zaburzeń Afektywnych Katedry Psychiatrii UJ CM.

出版信息

Psychiatr Pol. 2015 Jan-Feb;49(1):67-80. doi: 10.12740/PP/33909.

Abstract

This article presents a summary of available data on the use of quetiapine extended release (QUE-XR). QUE-XR is an example of an atypical antipsychotic drug that can be used in a single dose, thereby simplifying the treatment regimen. From the therapeutic standpoint, this issue is of paramount importance, since approximately 50% of patients have adherence issues. Therefore, availability of the drug which is comfortable in administration can significantly improve treatment outcomes. Due to its antipsychotic, antidepressive, mood stabilizing and anxiolytic efficacy, QUE-XR seems to be a promising drug with potentially broad spectrum of indications (in patients with schizophrenia, bipolar disorder, major depression and some anxiety disorders - both in the acute phase of treatment, and the maintenance treatment). Notably, QUE-XR seems to ameliorate sleep disturbances, and it may also improve patients' quality of life (as suggested by some studies). Due to the simple dosing regimen of QUE-XR, conducting therapy with this drug may contribute to the improvement of compliance. Yet, the primary clinical criterion for selection of the type of formulation of quetiapine should be the individual preferences of the patient, and the knowledge and experience of the treating physician.

摘要

本文概述了有关喹硫平缓释剂(QUE-XR)使用的现有数据。QUE-XR是非典型抗精神病药物的一个例子,它可以单剂量使用,从而简化治疗方案。从治疗角度来看,这个问题至关重要,因为大约50%的患者存在依从性问题。因此,一种服用方便的药物的可用性可以显著改善治疗效果。由于其抗精神病、抗抑郁、情绪稳定和抗焦虑功效,QUE-XR似乎是一种有前景的药物,具有潜在广泛的适应症(用于精神分裂症、双相情感障碍、重度抑郁症和一些焦虑症患者——在治疗急性期和维持治疗期均适用)。值得注意的是,QUE-XR似乎能改善睡眠障碍,并且也可能提高患者的生活质量(一些研究表明)。由于QUE-XR给药方案简单,使用这种药物进行治疗可能有助于提高依从性。然而,选择喹硫平剂型的主要临床标准应该是患者的个人偏好以及治疗医生的知识和经验。

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