Shaukat Ayesha, Mujeeb Azka, Shahnoor Syeda, Nasser Nathalie, Khan Abdul Moiz
Department of Internal Medicine Dow University of Health Sciences Karachi Pakistan.
Department of Internal Medicine Jinnah Sindh Medical University Karachi Pakistan.
Health Sci Rep. 2023 Oct 5;6(10):e1610. doi: 10.1002/hsr2.1610. eCollection 2023 Oct.
Vasomotor symptoms (VMS) are a common and distressing experience during menopause, affecting a significant portion of women. Hormone therapy (HT) has been the traditional treatment, but its limitations and potential risks have led to the search foar non-hormonal alternatives. Recently, the FDA approved Veozah (Fezolinetant) as a promising nonhormonal solution for moderate to severe VMS in menopause. Veozah, an innovative neurokinin 3 (NK3) receptor antagonist, targets the disrupted thermoregulation underlying VMS. It modulates neural activity within the thermoregulatory center by crossing the blood-brain barrier, offering relief from hot flashes and night sweats. Clinical trials, including SKYLIGHT 1TM, SKYLIGHT 2TM, and SKYLIGHT 4TM, have established Fezolinemtant's efficacy and safety profile. The recommended dosage of one 45 mg tablet per day demonstrates proportional pharmacokinetics, with generally mild side effects that require regular monitoring. Fezolinetant's oral availability makes it a convenient and accessible option for women seeking relief from VMS, potentially improving their overall well-being.
血管舒缩症状(VMS)是更年期常见且令人苦恼的经历,影响着很大一部分女性。激素疗法(HT)一直是传统治疗方法,但其局限性和潜在风险促使人们寻找非激素替代方案。最近,美国食品药品监督管理局(FDA)批准了Veozah(非索利那新)作为治疗更年期中度至重度VMS的一种有前景的非激素解决方案。Veozah是一种创新的神经激肽3(NK3)受体拮抗剂,针对VMS潜在的体温调节紊乱。它通过血脑屏障调节体温调节中枢内的神经活动,缓解潮热和盗汗。包括SKYLIGHT 1TM、SKYLIGHT 2TM和SKYLIGHT 4TM在内的临床试验已证实非索利那新的疗效和安全性。推荐剂量为每天一片45毫克片剂,其药代动力学呈比例关系,一般副作用较轻,需要定期监测。非索利那新的口服可用性使其成为寻求缓解VMS的女性方便易用的选择,可能改善她们的整体健康状况。