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用于治疗注意力缺陷/多动障碍的哌甲酯缓释口服混悬液:药剂师实用指南

Methylphenidate extended-release oral suspension for the treatment of attention-deficit/hyperactivity disorder: a practical guide for pharmacists.

作者信息

Caballero Joshua, Darsey Edress H, Walters Faith, Belden Heidi W

机构信息

Department of Clinical and Administrative Sciences, College of Pharmacy, Larkin Health Sciences Institute, Miami, FL.

Pfizer Inc, New York, NY, USA.

出版信息

Integr Pharm Res Pract. 2017 Oct 17;6:163-171. doi: 10.2147/IPRP.S142576. eCollection 2017.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects children, adolescents, and adults worldwide. The purpose of this review was to inform pharmacists of the numerous options to treat ADHD, with a focus on one of the more recently approved formulations, methylphenidate extended-release oral suspension (MEROS). Symptoms of ADHD can negatively impact an individual's health and quality of life and impair function in multiple settings. Psychostimulants such as methylphenidate- and amphetamine-based agents are first-line pharmacologic treatments for ADHD. However, there are multiple formulations, including immediate release (administered two to three times/day), solid extended release (ER), or transdermal patch. MEROS is a once daily, long-acting liquid preparation that has demonstrated favorable safety and efficacy in patients with ADHD. MEROS may improve treatment adherence in patients who cannot tolerate or have difficulties administering pill or transdermal patch formulations.

摘要

注意缺陷多动障碍(ADHD)是一种神经发育疾病,影响着全球的儿童、青少年和成年人。本综述的目的是让药剂师了解治疗ADHD的多种选择,重点介绍最近批准的一种制剂——哌甲酯缓释口服混悬液(MEROS)。ADHD症状会对个人健康和生活质量产生负面影响,并在多种环境中损害功能。基于哌甲酯和苯丙胺的精神兴奋剂是治疗ADHD的一线药物。然而,有多种剂型,包括速释型(每日给药两到三次)、固体缓释型(ER)或透皮贴剂。MEROS是一种每日一次的长效液体制剂,已在ADHD患者中显示出良好的安全性和有效性。MEROS可能会提高那些无法耐受或难以服用丸剂或透皮贴剂制剂的患者的治疗依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022c/5774317/f1cc9cfa11ee/iprp-6-163Fig1.jpg

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