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鲁拉西酮是治疗与自闭症谱系障碍相关的易激惹症状的有效替代药物。

Lurasidone an Effective Alternative for the Treatment of Irritability Associated With Autism Spectrum Disorder.

作者信息

Gupta Mayank, Hoover Gary

机构信息

Psychiatry, Lake Erie College of Osteopathic Medicine, Erie, USA.

Psychiatry and Behavioral Sciences, Clarion Psychiatric Center, Clarion, USA.

出版信息

Cureus. 2020 Dec 29;12(12):e12360. doi: 10.7759/cureus.12360.

DOI:10.7759/cureus.12360
PMID:33520554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7839804/
Abstract

The key objective to demonstrate the use of Lurasidone in children or adolescents with autism spectrum disorders (ASD) and add further insights into its use in clinical practice with youth. We present four cases treated in the inpatient settings with unique challenges and their treatment course to address the unique clinical practice challenges. There is a dearth of psychopharmacologic options to treat irritability and affective symptoms in children and/or adolescents with autism spectrum disorders. Although recent research has yielded mixed results, there is still a not clear consensus on its effectiveness. Based on our experience, we found Lurasidone was an effective alternative due to its unique psychopharmacologic profile. It was well tolerated without any side effects, and its efficacy was more observed at higher doses.

摘要

证明鲁拉西酮在患有自闭症谱系障碍(ASD)的儿童或青少年中的应用,并进一步深入了解其在青少年临床实践中的应用,这是关键目标。我们介绍了在住院环境中治疗的4例具有独特挑战的病例及其治疗过程,以应对独特的临床实践挑战。在患有自闭症谱系障碍的儿童和/或青少年中,治疗易怒和情感症状的心理药理学选择匮乏。尽管最近的研究结果不一,但关于其有效性仍没有明确的共识。根据我们的经验,我们发现鲁拉西酮因其独特的心理药理学特性而成为一种有效的替代药物。它耐受性良好,没有任何副作用,并且在较高剂量下更能观察到其疗效。

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本文引用的文献

1
Lurasidone for the treatment of irritability and anger in autism spectrum disorders.鲁拉西酮用于治疗自闭症谱系障碍中的易激惹和愤怒症状。
Expert Opin Investig Drugs. 2017 Aug;26(8):985-989. doi: 10.1080/13543784.2017.1353600. Epub 2017 Jul 24.
2
Long-term safety and effectiveness of lurasidone in schizophrenia: a 22-month, open-label extension study.鲁拉西酮治疗精神分裂症的长期安全性和有效性:一项为期22个月的开放标签扩展研究。
CNS Spectr. 2016 Oct;21(5):393-402. doi: 10.1017/S1092852915000917. Epub 2016 Apr 6.
3
Pharmacologic Treatment of Severe Irritability and Problem Behaviors in Autism: A Systematic Review and Meta-analysis.自闭症严重易激惹和问题行为的药物治疗:系统评价与荟萃分析
Pediatrics. 2016 Feb;137 Suppl 2:S124-35. doi: 10.1542/peds.2015-2851K.
4
Psychopharmacological interventions in autism spectrum disorder.自闭症谱系障碍的心理药理学干预措施。
Expert Opin Pharmacother. 2016;17(7):937-52. doi: 10.1517/14656566.2016.1154536. Epub 2016 Mar 7.
5
Lurasidone for the Treatment of Irritability Associated with Autistic Disorder.鲁拉西酮治疗与孤独症谱系障碍相关的易激惹症状
J Autism Dev Disord. 2016 Apr;46(4):1153-63. doi: 10.1007/s10803-015-2628-x.
6
Treatment of early non-response in patients with schizophrenia: assessing the efficacy of antipsychotic dose escalation.精神分裂症患者早期无反应的治疗:评估抗精神病药物剂量增加的疗效。
BMC Psychiatry. 2015 Oct 31;15:271. doi: 10.1186/s12888-015-0629-0.
7
Lurasidone treatment in a child with autism spectrum disorder with irritability and aggression.鲁拉西酮治疗一名患有孤独症谱系障碍且伴有易激惹和攻击行为的儿童。
J Child Adolesc Psychopharmacol. 2014 Aug;24(6):354-6. doi: 10.1089/cap.2014.2462.
8
CYP2D6 genotyping in paediatric patients with autism treated with risperidone: a preliminary cohort study.利培酮治疗的自闭症儿科患者的CYP2D6基因分型:一项初步队列研究。
Dev Med Child Neurol. 2014 Oct;56(10):990-4. doi: 10.1111/dmcn.12470. Epub 2014 May 15.
9
Lurasidone monotherapy in the treatment of bipolar I depression: a randomized, double-blind, placebo-controlled study.拉鲁司酮单药治疗双相 I 型抑郁症的随机、双盲、安慰剂对照研究。
Am J Psychiatry. 2014 Feb;171(2):160-8. doi: 10.1176/appi.ajp.2013.13070984.
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