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QuilliChew 延长释放咀嚼片治疗 6 岁及以上患者的注意缺陷多动障碍(ADHD)。

QuilliChew extended-release chewable tablets for the treatment of ADHD in patients ages 6 years old and above.

机构信息

a Center for Psychiatry and Behavioral Medicine, Inc ., Las Vegas , NV , USA.

b Department of Psychiatry and Behavioral Health , University of Nevada School of Medicine , Las Vegas , NV , USA.

出版信息

Expert Opin Drug Deliv. 2018 Dec;15(12):1263-1270. doi: 10.1080/17425247.2018.1545759. Epub 2018 Nov 15.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a common neurobehavioral disorder affecting as many as 6.4 million children and adolescents in the United States. Since amphetamine (AMPH) and methylphenidate (MPH) were found to be effective more than 60 years ago, numerous formulations of these compounds have been developed. New preparations have focused on convenience, with extended-release (ER) drugs allowing once-daily dosing. Multiple ER formulations do not require patients to swallow a tablet or capsule. Recent ER preparations include liquids, oral disintegrating tablets, and chewable tablets. Several new formulations use ion exchange technology containing both immediate-release and ER components. Areas covered: Quillichew ER (MPH-ERCT) is an ER methylphenidate designed to be chewed before swallowing. The technology and pharmacokinetics, along with efficacy and safety data, are presented. Expert opinion: Extensive safety and efficacy data exist for MPH. ER formulations can be distinguished by preparation (tablet, capsule, liquid) and onset and duration of effect, but efficacy is similar for all ER MPH products. Each formulation has attributes, such as ease of titration, portability, and taste, that make it more acceptable for certain patients. Because AMPH and MPH are so effective, current technology research is focused on improving safety, convenience, and onset and duration of effect.

摘要

注意缺陷多动障碍(ADHD)是一种常见的神经行为障碍,影响着美国多达 640 万儿童和青少年。自 60 多年前发现安非他命(AMPH)和哌甲酯(MPH)有效以来,已经开发出了许多这些化合物的制剂。新制剂的重点是方便性,延长释放(ER)药物允许每天一次给药。多种 ER 制剂不需要患者吞咽片剂或胶囊。最近的 ER 制剂包括液体、口腔崩解片和咀嚼片。几种新制剂使用包含速释和 ER 成分的离子交换技术。涵盖领域:Quillichew ER(MPH-ERCT)是一种 ER 哌甲酯,旨在在吞咽前咀嚼。本文介绍了该技术和药代动力学以及疗效和安全性数据。专家意见:广泛的安全性和疗效数据存在于 MPH 中。ER 制剂可以通过制剂(片剂、胶囊、液体)和起效时间和作用持续时间来区分,但所有 ER MPH 产品的疗效相似。每种制剂都有其特点,如易于滴定、便携性和口感,使某些患者更容易接受。由于 AMPH 和 MPH 非常有效,当前的技术研究集中在提高安全性、便利性以及起效时间和作用持续时间上。

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