Barnhardt Elizabeth A, Narayanan Anita R, Coury Daniel L
The Ohio State University, Columbus, OH, USA.
Expert Opin Pharmacother. 2023 May-Aug;24(11):1215-1219. doi: 10.1080/14656566.2023.2218544. Epub 2023 May 26.
Attention deficit/hyperactivity disorder (ADHD) is a common behavioral disorder which is best treated through a combination of medication and behavioral therapy, with stimulant medications serving as a first-line treatment approach. Serdexmethylphenidate (SDX), a prodrug of dexmethylphenidate (d-MPH), a commonly utilized stimulant medication, has recently received approval and is marketed in the U.S.A.
This review summarizes peer-reviewed literature on SDX published between 2021-2023 and a review of data available from ClinicalTrials.gov.
SDX represents a new option for treatment for ADHD. It is unique in its prodrug design and achieves a relatively extended duration of action in comparison to other stimulant formulations. Although the research is relatively limited thus far, early data suggests it to be a safe medication to consider with side effects being similar to other stimulant medications. Its prodrug design is useful in potentially serving as a deterrent to intentional parenteral abuse and its ability to be opened and sprinkled makes it an option for those individuals with ADHD who might be unable to swallow pills.
注意力缺陷多动障碍(ADHD)是一种常见的行为障碍,最佳治疗方法是药物治疗和行为疗法相结合,其中刺激性药物是一线治疗方法。舍曲美他嗪(SDX)是常用刺激性药物右美托咪定(d-MPH)的前体药物,最近已获批准并在美国上市。
本综述总结了2021年至2023年间发表的关于SDX的同行评审文献,并对来自ClinicalTrials.gov的可用数据进行了综述。
SDX是ADHD治疗的一种新选择。它的前体药物设计独特,与其他刺激性制剂相比,作用持续时间相对延长。尽管目前的研究相对有限,但早期数据表明它是一种安全的药物,副作用与其他刺激性药物相似。其前体药物设计可能有助于防止故意非肠道滥用,并且它可以打开并撒在食物上的特性使其成为那些可能无法吞咽药片的ADHD患者的一种选择。