拉斯米迪坦的神经精神病学安全概况:与三剂进行比较不成比例分析
Diane Merino1,2, Alexandre O Gérard2,3, Elise K Van Obberghen4
1Department of Psychiatry, Université Côte d'Azur, University Hospital of Nice, Nice, France.
概括
拉斯米迪坦是一种新的偏头痛药物,其心血管风险低于三类药物,但具有神经和精神方面的副作用. 建议在患有先前存在的神经或精神疾病的患者中谨慎使用.
科学领域:
- 药物监督 药物监督 药物监督
- 神经学 神经学
- 临床药理学 临床药理学
背景情况:
- 偏头痛是全球导致残疾的主要原因之一.
- 三类药物是第一线偏头痛治疗方法,但有心血管的禁忌.
- 拉斯米迪坦作为选择性色胺5-HT1F受体激动剂,提供了一种新的治疗选择.
研究的目的:
- 为了评估拉斯米迪坦与三类药物相比的安全性概况.
- 为了确定VigiBase®中对拉斯米迪坦不成比例地报告的不良药物反应.
- 评估拉斯米迪坦的神经精神和心血管安全信号.
主要方法:
- 使用了世卫组织药监数据库 (VigiBase®).
- 使用信息组件 (IC) 进行比较不成比例分析.
- 分析了826份关于拉斯米迪坦的报告,并将信号与三剂进行了比较.
主要成果:
- 在10个药物不良反应类别中,三类药物显示出不成比例的报道.
- 拉斯米迪坦在神经和精神疾病中显示出不成比例的报道.
- 拉斯米迪坦的关键信号包括镇静,血清激素综合征,高兴情绪和自视镜.
结论:
- 拉斯米迪坦为偏头痛患者带有心血管风险提供了潜在的更安全的替代方案.
- 神经学和精神病学的副作用需要谨慎处理,特别是在敏感患者中.
- 需要进一步的研究来验证由于药监局限量的发现.
更多相关视频
相关概念视频
Local Anesthetics: Adverse Effects
455
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
455
Skeletal Muscle Relaxants: Adverse Effects
401
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
401
Local Anesthetics: Pharmacokinetics
806
The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
806
Sedatives and Hypnotics Drugs: Miscellaneous Agents
203
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
203
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
349
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
349
Antiepileptic Drugs: Potassium Channel Activators
215
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
215


