Suzuki Hidenobu, Hibino Hiroyuki, Inoue Yuichi, Matsumoto Hideo, Mikami Katsunaka
Department of Psychiatry, Suzuki Clinic, Tokyo, Japan.
Department of Psychiatry, Fukui Kinen Hospital, Kanagawa, Japan.
SAGE Open Med Case Rep. 2017 May 26;5:2050313X17710594. doi: 10.1177/2050313X17710594. eCollection 2017.
Schizophrenia is a chronic disease that requires long-term management with antipsychotics; however, an important barrier to the success of long-term treatment is drug noncompliance, which increases the risk of recurrence and hospitalization. Second-generation long-acting injectable antipsychotics have improved drug adherence, and the pharmacological effects of the drugs, and therefore, have become useful treatment options.
We report on three schizophrenia patients who switched from oral low-dose aripiprazole to aripiprazole once-monthly 300 mg. We examined the efficacy and safety of aripiprazole once-monthly 300 mg, as well as its influence on quality of life, from baseline to 20 weeks after aripiprazole once-monthly 300 mg treatment.
Aripiprazole once-monthly 300 mg did not exacerbate the depressive and negative symptoms, and extrapyramidal symptoms were improved, which may have helped improve the quality of life.
The results suggest the efficacy of aripiprazole once-monthly 300 mg in maintenance treatment for schizophrenia when mental symptoms are stable.
精神分裂症是一种需要使用抗精神病药物进行长期管理的慢性疾病;然而,长期治疗成功的一个重要障碍是药物不依从性,这会增加复发和住院的风险。第二代长效注射用抗精神病药物改善了药物依从性和药物的药理作用,因此已成为有用的治疗选择。
我们报告了3例从口服低剂量阿立哌唑转换为每月一次300mg阿立哌唑的精神分裂症患者。我们研究了每月一次300mg阿立哌唑从基线到治疗20周后的疗效和安全性,以及其对生活质量的影响。
每月一次300mg阿立哌唑并未加重抑郁和阴性症状,锥体外系症状得到改善,这可能有助于提高生活质量。
结果表明,当精神症状稳定时,每月一次300mg阿立哌唑在精神分裂症维持治疗中具有疗效。