Department of Public Health, College of Health Sciences, QU Health, Qatar University, Doha, Qatar; Hamad Medical Corporation, Doha 3050, Qatar.
Dow University of Health Sciences, Karachi 74200, Pakistan.
Prog Neuropsychopharmacol Biol Psychiatry. 2024 Jun 8;132:110983. doi: 10.1016/j.pnpbp.2024.110983. Epub 2024 Feb 25.
Postpartum depression (PPD) poses a major threat to maternal mental health and wellbeing while also adversely affecting the mother's relationship with her baby, leading to significant repercussions that may hinder the growth and cognitive development of the child. For decades, antidepressants have been the mainstay of treating PPD; however, recent evidence suggests that antidepressants are not as effective as they are believed to be and there is a dire need to explore new treatment options. In 2023, a breakthrough in treating PPD emerged with the recent FDA approval of zuranolone, a gamma-aminobutyric acid (GABA) receptor selective positive allosteric modulator. The implementation of zuranolone in treating PPD can prove to be revolutionary, considering it is the first oral medication available for PPD. Our review aims to discuss the various clinical trials that have been conducted to validate the efficacy of zuranolone in mitigating the symptoms of PPD, hence, leading to better outcomes for mothers.
产后抑郁症(PPD)对产妇的心理健康和幸福感构成重大威胁,同时也会对母亲与婴儿的关系产生不利影响,从而产生重大影响,可能会阻碍孩子的成长和认知发展。几十年来,抗抑郁药一直是治疗 PPD 的主要方法;然而,最近的证据表明,抗抑郁药并不像人们认为的那样有效,因此迫切需要探索新的治疗方法。2023 年,随着最近 FDA 批准 γ-氨基丁酸(GABA)受体选择性正变构调节剂 zuranolone,治疗 PPD 取得了突破。考虑到它是第一种可用于治疗 PPD 的口服药物,zuranolone 在治疗 PPD 中的应用可能具有革命性意义。我们的综述旨在讨论已经进行的各种临床试验,以验证 zuranolone 在减轻 PPD 症状方面的功效,从而为母亲带来更好的结果。