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自闭症谱系障碍的药物治疗,包括有前途的老药物,需要进行试验
1Department of Psychiatry, University of Missouri-Kansas City, Lee's Summit, MO 64063, United States. jessica.hellings@uhkc.org.
World journal of psychiatry
|June 29, 2023
概括
治疗自闭症谱系障碍 (ASD) 的药物疗法对核心症状的疗效有限. 虽然一些药物,如RISPERIDONE和ARIPIPRAZOLE是FDA批准的,但其他药物,如AMITRIPTYLINE和LOXAPINE显示出对相关症状的新兴承诺.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 自闭症谱系障碍 (ASD) 的药物治疗方法有限,只有很少的FDA批准的选择.
- 现有的药物往往缺乏针对ASD人群的强有力的受控研究.
- 研究正在探索既有和新的药物疗法来管理与ASD相关的症状.
研究的目的:
- 审查自闭症谱系障碍 (ASD) 的可用药物治疗方法.
- 要突出药物与新兴证据的有效性在ASD.
- 评估治疗注意力缺陷多动障碍 (ADHD) 和ASD其他相关症状的药物的有用性.
主要方法:
- 对ASD可用的药物治疗方法的临床和研究经验的审查.
- 对ASD使用的药物的受控研究和FDA批准的分析.
- 与典型发育个体相比,对ASD人群的药物疗效和耐受性的评估.
主要成果:
- 在美国,只有RISPERIDONE和ARIPIPRAZOLE被FDA批准用于ASD.
- 与典型的发展个体相比,甲基酸在ASD中对ADHD症状的疗效和耐受性较低.
- 阿米特里普提林和洛克萨在控制睡眠,焦虑,冲动性,重复性行为和ASD中尿尿症方面表现有前途,具有潜在的神经营养特性.
结论:
- 目前,没有确定的药物有效治疗自闭症谱系障碍的核心症状.
- 针对过度活跃,冲动和焦虑等相关症状的药物显示出不同的疗效.
- 阿米特里普提林和洛克萨代表了未来研究和临床应用在管理与自闭症相关的挑战有前途的途径.
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