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在临床实践中使用左旋多巴/卡比多巴微片口服给药治疗帕金森病的个性化医疗方法。

Personalized Medicine Approach in Treating Parkinson's Disease, Using Oral Administration of Levodopa/Carbidopa Microtablets in Clinical Practice.

作者信息

Grétarsdóttir Helga María, Widman Erik, Johansson Anders, Nyholm Dag

机构信息

Department of Neuroscience, Neurology, Uppsala University, 75185 Uppsala, Sweden.

Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.

出版信息

J Pers Med. 2021 Jul 26;11(8):720. doi: 10.3390/jpm11080720.

Abstract

The most effective symptomatic treatment in Parkinson's disease (PD) is levodopa in standard doses. However, as the disease progresses, there may be a need for a more personalized approach and fine tuning, in accordance with the patients' needs. This study aims to evaluate the individual experience of levodopa/carbidopa 5/1.25 mg microtablets (LC-5) in clinical practice with respect to efficacy, tolerability, and usability. The method used was as follows: patients answered a questionnaire concerning the effect and usability of LC-5, and their medical records were reviewed. Regarding results, thirty-five survey responses were obtained, and 29 patients' medical records were reviewed. The LC-5 dose dispenser usability was generally rated positively and facilitated medication adherence. The majority (85%) of patients reported symptom improvement while using LC-5, compared with previous standard treatments. These results suggest that LC-5 therapy is generally well-tolerated, with favorable patient-reported efficacy and user friendliness, as well as the possibility for an individualized, fine-tuned PD treatment. Further studies with a prospective design and larger study population are needed to confirm the results.

摘要

帕金森病(PD)最有效的对症治疗药物是标准剂量的左旋多巴。然而,随着疾病进展,可能需要根据患者需求采取更个性化的方法并进行微调。本研究旨在评估左旋多巴/卡比多巴5/1.25毫克微片(LC-5)在临床实践中关于疗效、耐受性和易用性的个体体验。所用方法如下:患者回答了一份关于LC-5效果和易用性的问卷,并对其病历进行了审查。关于结果,共获得35份调查回复,并审查了29例患者的病历。LC-5剂量分配器的易用性总体评价良好,有助于药物依从性。与先前的标准治疗相比,大多数(85%)患者在使用LC-5时报告症状有所改善。这些结果表明,LC-5治疗一般耐受性良好,患者报告的疗效良好且用户友好,并且有可能实现个性化、微调的帕金森病治疗。需要进行前瞻性设计和更大研究人群的进一步研究来证实这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ef/8400411/f70c0f45fbfc/jpm-11-00720-g001.jpg

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