利培酮治疗青少年精神分裂症和躁郁症的最新进展

J. Bishop, M. Pavuluri
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摘要

自1993年12月最初批准用于治疗精神分裂症以来,已被临床使用。2007年8月22日,它也成为第一个获得FDA批准的SGA,用于治疗13-17岁青少年精神分裂症和10-17岁儿童和青少年躁狂或混合性双相I型障碍的短期治疗。这使它成为第一个批准用于这些人群的SGA。此外,它适用于成人双相躁狂症和精神分裂症,以及5-16岁儿童和青少年与自闭症相关的易怒。在美国,利培酮是成人和儿童精神分裂症和双相情感障碍的一线治疗药物。与大多数用于治疗患有严重精神疾病的儿童的药物一样,临床医生必须仔细权衡风险和收益。为了帮助指导他们,本综述总结了利培酮在患有精神分裂症或双相情感障碍的儿童和青少年中的疗效、有效性和安全性数据。该综述使用了PubMed、EMBASE和Psych Abstracts的出版数据库,以及FDA药物评估和研究中心(CDER)公开的临床试验信息。搜索词包括“利培酮”、“利培酮与青少年”、“利培酮与儿童”、“利培酮与双相情感障碍”和“利培酮与精神分裂症”,用于研究患有双相情感障碍或精神分裂症的儿童和青少年。
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Update on the Use of Risperidone for the Treatment Of Youth With Schizophrenia and ipolar Disorder
done has been used clinically since its original approval in December 1993 for the treatment of schizophrenia. On August 22, 2007, it also became the first SGA to receive approval from the FDA for the treatment of schizophrenia in adolescents ages 13–17 and for the short-term treatment of manic or mixed episodes of bipolar I disorder in children and adolescents ages 10–17. This makes it the first SGA approved for these populations. In addition, it is indicated for bipolar mania and schizophrenia in adults, as well as for irritability associated with autism in children and adolescents 5–16 years of age. Risperidone is prescribed in the United States as a first-line treatment for adults and children with schizophrenia and bipolar disorders. As with most medications that serve as treatment options for children with major mental illnesses, clinicians must carefully weigh the risks and benefits. To help guide them, this review summarizes the efficacy, effectiveness, and safety data for risperidone in children and adolescents with schizophrenia or bipolar disorder. The review used the publication databases of PubMed, EMBASE, and Psych Abstracts, and publicly available clinical trial information from the FDA Center for Drug Evaluation and Research (CDER). The terms of search included “risperidone,” “risperidone and adolescent,” “risperidone and pediatric,” “risperidone and bipolar,” and “risperidone and schizophrenia” for studies of children and adolescents with bipolar disorder or schizophrenia.
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