Kaur Gagandeep, Phillips Craig L, Wong Keith, McLachlan Andrew J, Saini Bandana
Faculty of Pharmacy, The University of Sydney, Camperdown NSW 2006, Australia.
Woolcock Institute of Medical Research, University of Sydney, Glebe, NSW 2037, Australia.
Pharmaceutics. 2016 Apr 15;8(2):13. doi: 10.3390/pharmaceutics8020013.
Chronotherapy involves the administration of medication in coordination with the body's circadian rhythms to maximise therapeutic effectiveness and minimise/avoid adverse effects. The aim of this study is to investigate the "time of administration" recommendations on chronotherapy for commonly-prescribed medicines in Australia. This study also aimed to explore the quality of information on the timing of administration presented in drug information sources, such as consumer medicine information (CMI) and approved product information (PI). Databases were searched for original research studies reporting on the impact of "time of administration" of the 30 most commonly-prescribed medicines in Australia for 2014. Further, time of administration recommendations from drug information sources were compared to the evidence from chronotherapy trials. Our search revealed 27 research studies, matching the inclusion and exclusion criteria. In 56% (n = 15) of the research studies, the therapeutic effect of the medicine varied with the time of administration, i.e., supported chronotherapy. For some medicines (e.g., simvastatin), circadian-based optimal administration time was evident in the information sources. Overall, dedicated studies on the timing of administration of medicines are sparse, and more studies are required. As it stands, information provision to consumers and health professionals about the optimal "time" to take medications lags behind emerging evidence.
时间治疗法是指配合人体昼夜节律给药,以最大限度提高治疗效果并最小化/避免不良反应。本研究旨在调查澳大利亚常用处方药时间治疗法中的“给药时间”建议。本研究还旨在探究药品信息来源(如消费者用药信息[CMI]和批准的产品信息[PI])中给出的给药时间信息质量。检索数据库以查找报告2014年澳大利亚30种最常用处方药“给药时间”影响的原始研究。此外,将药品信息来源中的给药时间建议与时间治疗法试验的证据进行比较。我们的检索发现了27项符合纳入和排除标准的研究。在56%(n = 15)的研究中,药物的治疗效果随给药时间而变化,即支持时间治疗法。对于某些药物(如辛伐他汀),基于昼夜节律的最佳给药时间在信息来源中很明显。总体而言,关于药物给药时间的专门研究较少,需要更多研究。目前,向消费者和医疗专业人员提供的关于最佳服药“时间”的信息落后于新出现的证据。