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奥氮平(LY 170053)的首次临床经验:一项针对精神分裂症患者的开放标签安全性及剂量范围研究的结果

First clinical experience with olanzapine (LY 170053): results of an open-label safety and dose-ranging study in patients with schizophrenia.

作者信息

Baldwin D S, Montgomery S A

机构信息

University Department of Psychiatry, University of Southampton, UK.

出版信息

Int Clin Psychopharmacol. 1995 Nov;10(4):239-44.

PMID:8748045
Abstract

Although neuroleptic drugs have proven value in the management of patients with schizophrenia, the existing drugs are far from ideal. The pharmacological profile of olanzapine (LY 170053, Lilly) in animal models suggests that it may be an effective antipsychotic drug in humans, with the potential for a reduced incidence of desirable extra-pyramidal side effects, compared to existing neuroleptics. The results of this first investigation of olanzapine in schizophrenic patients indicate that it has efficacy as an antipsychotic compound, relieving positive and negative features of schizophrenia. Olanzapine appears to have an acceptable degree of overall tolerability, and may be associated with a low incidence of extrapyramidal tract symptoms. It does not appear to be free of adverse effects on liver function.

摘要

尽管抗精神病药物在治疗精神分裂症患者方面已被证明具有价值,但现有的药物远非理想。奥氮平(LY 170053,礼来公司)在动物模型中的药理学特性表明,它可能是一种对人类有效的抗精神病药物,与现有的抗精神病药物相比,有可能降低锥体外系副作用的发生率。这项对精神分裂症患者进行的首次奥氮平研究结果表明,它作为一种抗精神病化合物具有疗效,可缓解精神分裂症的阳性和阴性症状。奥氮平似乎具有可接受的总体耐受性,并且可能与锥体外系症状的低发生率相关。它似乎并非对肝功能没有不良影响。

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Int Clin Psychopharmacol. 1995 Nov;10(4):239-44.
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The safety of olanzapine compared with other antipsychotic drugs: results of an observational prospective study in patients with schizophrenia (EFESO Study). Pharmacoepidemiologic Study of Olanzapine in Schizophrenia.奥氮平与其他抗精神病药物相比的安全性:一项针对精神分裂症患者的前瞻性观察性研究结果(EFESO研究)。奥氮平在精神分裂症中的药物流行病学研究。
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引用本文的文献

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A commentary on the efficacy of olanzapine for the treatment of schizophrenia: the past, present, and future.奥氮平治疗精神分裂症的疗效述评:过去、现在与未来
Neuropsychiatr Dis Treat. 2019 Sep 5;15:2559-2569. doi: 10.2147/NDT.S209284. eCollection 2019.
2
The Black Book of Psychotropic Dosing and Monitoring.《精神药物剂量与监测黑皮书》
Psychopharmacol Bull. 2018 Jan 15;48(1):64-153.
3
Blood lactate levels in patients receiving first- or second- generation antipsychotics.接受第一代或第二代抗精神病药物治疗的患者的血乳酸水平。
Croat Med J. 2011 Feb;52(1):41-7. doi: 10.3325/cmj.2011.52.41.
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The pharmacologic management of insomnia in patients with HIV.HIV 感染者失眠的药物治疗。
J Clin Sleep Med. 2009 Jun 15;5(3):251-62.
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Costs of new atypical antipsychotic agents for schizophrenia: does unrestricted access reduce hospital utilization?新型非典型抗精神病药物治疗精神分裂症的成本:无限制使用是否能降低医院利用率?
Healthc Policy. 2007 Aug;3(1):58-79.
6
Effective treatment of mania with olanzapine: 2 case reports.奥氮平治疗躁狂症的有效性:2例病例报告。
J Psychiatry Neurosci. 1997 Nov;22(5):345-6.
7
Olanzapine. A review of its pharmacological properties and therapeutic efficacy in the management of schizophrenia and related psychoses.奥氮平。对其治疗精神分裂症及相关精神病的药理特性和疗效的综述。
Drugs. 1997 Feb;53(2):281-98. doi: 10.2165/00003495-199753020-00007.