21世纪非标签使用抗精神病药物:一种持久的公共卫生问题
1University Bordeaux, Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France.
Dialogues in clinical neuroscience
|January 10, 2025
概括
抗精神病药物非标签使用 (OLU) 在青年和成年人中仍然很高,通常用于焦虑或睡眠. 由于潜在的药物不良反应 (ADR) 和行业影响,监测OLU至关重要.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 自第二代药物推出以来,抗精神病药物的非标签使用 (OLU) 已变得普遍.
- 监测抗精神病OLU是必不可少的,因为增加患者的暴露和潜在的不良影响.
研究的目的:
- 综合过去15年关于抗精神病OLU治疗精神健康症状的文献.
- 评估抗精神病OLU的患病率,驱动因素和影响.
主要方法:
- 系统审查过去15年发表的观察性研究.
- 对抗精神病OLU的处方模式和影响因素的分析.
主要成果:
- 抗精神病药物OLU的高率仍然存在:三分之二的青少年和30-60%的成年人处方抗精神病药物使用它们的标签.
- 对焦虑/睡眠的低剂量奎平是公共卫生问题的一个例子,由营销和感知到的低风险驱动.
- 抗精神病OLU可能对于耐药性疾病是必要的,但具有不良药物反应 (ADR) 的风险.
结论:
- 抗精神病OLU是一个复杂的问题,需要仔细考虑,平衡潜在的好处与风险.
- 减少OLU的影响需要控制制药行业的影响力,并改善对OLU风险的处方医生/患者教育.
- 需要进一步的研究和指导方针来优化抗精神病药物处方实践.
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