摘要
注意缺陷多动障碍是一种儿童期常见的精神障碍,中枢兴奋剂如盐酸哌甲酯片是临床治疗此类障碍的一线药物。然而,由于盐酸哌甲酯片疗效持续时间较短,需要每天多次服药使治疗依从性不佳。盐酸哌甲酯控释片(专注达)是每天1次服用的渗透型控释片剂,成为治疗注意缺陷多动障碍的有价值药物。现综述其药动学、药理作用、剂型特点、临床疗效和安全性研究进展。
Attention deficit/hyperactivity disorder (ADHD) is one of the most prevalent child- hood psychiatric disorders. Stimulant medications are among the first-line agents in the pharmacotherapy of ADHD. Of the stimulant medications, methylphenidate (MPH) is the most studied. Compared with immediate-release (IR) MPH with a short duration of action requiring multiple daily dosing, which creates significant problems in the compliance of schools, parents/caregivers, and children, extended-release stimulant preparations have become a favorable pharmacological treatment for ADHD. OROS MPH (CONCERTA) is a once-daily, osmotic, controlled-release tablet of MPH. This review discussed the pharmacology, clinical effectiveness and safety of the controlled-release tablets of methylphenidate hydrochloride.
出处
《中国新药杂志》
CAS
CSCD
北大核心
2006年第20期1731-1734,1784,共5页
Chinese Journal of New Drugs
关键词
注意缺陷多动障碍
盐酸哌甲酯
控释制剂
attention deficit/hyperactivity disorder (ADHD)
methylphenidate hydroehloride
delayed-action preparations