Mejuto Beatriz, Castellano Paloma, Castro Concepción, López Luis Manuel
Pharmacy Unit. Hospital da Costa. EOXI Lugo, Monforte e Cervo..
Neurology Unit. Hospital da Costa. EOXI Lugo, Monforte e Cervo..
Farm Hosp. 2017 Mar 1;41(2):283-291. doi: 10.7399/fh.2017.41.2.10615.
Assessment of the efficacy and safety of fampridine for walking improvement in adult patients with multiple sclerosis.
A descriptive retrospective study of all patients who initiated treatment with fampridine between March, 2014 and February, 2015. Efficacy was assessed through the 25-foot walk test and the 12-item walking scale for multiple sclerosis. It was reviewed whether patients had suffered any of the most frequent adverse effects described in the pivotal clinical trial.
Six patients were included, with a 66.7% response rate. At 3-6 months, the mean change in walking speed (compared to baseline) was 39.32% and there was a mean improvement of 15 points in the walking scale. Only one patient presented adverse effects.
The results obtained are encouraging, particularly when fampridine is the only drug currently approved to control such a disabling symptom as instability while walking.
评估氨吡啶改善成年多发性硬化症患者行走能力的疗效和安全性。
对2014年3月至2015年2月期间开始使用氨吡啶治疗的所有患者进行描述性回顾性研究。通过25英尺步行试验和多发性硬化症12项步行量表评估疗效。审查患者是否出现了关键临床试验中描述的任何最常见的不良反应。
纳入6例患者,有效率为66.7%。在3至6个月时,步行速度的平均变化(与基线相比)为39.32%,步行量表平均提高了15分。只有1例患者出现不良反应。
所获得的结果令人鼓舞,特别是当氨吡啶是目前唯一被批准用于控制诸如行走不稳这种致残症状的药物时。