University of Florida Colleges of Pharmacy and Medicine, Gainesville, FL, USA.
Orlando VA Medical Center, Orlando, FL, USA.
Ann Pharmacother. 2020 Feb;54(2):157-163. doi: 10.1177/1060028019873320. Epub 2019 Sep 3.
To review the safety and efficacy of brexanolone for the treatment of moderate to severe postpartum depression (PPD). A literature search through PubMed was conducted (January 2012 to July 2019) using the keyword for clinical trials published in the English language. Articles were selected if they were related to the Food and Drug Administration (FDA) approval of brexanolone or provided novel clinical information regarding this drug entity. The findings of the review show that brexanolone administered via IV infusion is both an effective and a fairly safe option for the treatment of PPD. There are several antidepressants currently used to treat PPD; however, this is the first with FDA approval for this indication. The rapid onset of action of brexanolone may offer a quicker relief of these symptoms and may possibly lead to improved quality of life for both the mother and the child. The recent FDA approval of brexanolone may offer an effective treatment of moderate to severe PPD and has been shown to rapidly decrease depression symptoms.
评估依洛昔酚治疗中重度产后抑郁症(PPD)的安全性和有效性。通过 PubMed 进行文献检索(2012 年 1 月至 2019 年 7 月),使用的关键词为已发表的英文临床试验。如果文章与依洛昔酚的食品和药物管理局(FDA)批准有关,或者提供了有关该药物的新的临床信息,则选择这些文章。综述结果表明,静脉输注依洛昔酚既是一种有效且相对安全的治疗 PPD 的选择。目前有几种抗抑郁药可用于治疗 PPD;然而,这是第一种针对该适应症获得 FDA 批准的药物。依洛昔酚的快速起效可能会更快地缓解这些症状,并可能改善母亲和孩子的生活质量。依洛昔酚最近获得 FDA 批准可能为中重度 PPD 提供了一种有效的治疗方法,并已被证明可迅速降低抑郁症状。