与成人相比,在儿童和青少年中使用长效注射抗精神病药物
Iris Anja Levy1, Joseph Lipton1, Yoav Kohen1,2
1Jerusalem Mental Health Center, Eitanim Psychiatric Hospital, Jerusalem 90972, Israel.
Journal of clinical medicine
|July 29, 2025
概括
与年轻人相比,长效注射抗精神病药物 (LAIA) 治疗在儿童和青少年中表现出类似的有效性和安全性. 需要进一步的研究,以充分评估儿科患者的长期结果.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 药理学 药理学是指药理学的学科.
- 临床心理学 临床心理学
背景情况:
- 长效注射抗精神病药 (LAIA) 对于治疗精神病至关重要.
- 关于LAIA在儿科患者群体中的有效性和安全性的数据有限.
- 随机对照试验 (RCT) 在这个人口群体中具有挑战性.
研究的目的:
- 评估LAIA治疗儿童和青少年的有效性和安全性.
- 为了比较儿科的LAIA结果与年轻人的LAIA结果.
- 为了推断出由于RCT限制的疗效和安全数据.
主要方法:
- 从2014年1月到2021年4月的医疗记录的回顾性比较.
- 包括接受LAIA治疗的成人和儿科住院患者.
- 对临床总体印象 (CGI) 评分和副作用率的分析.
主要成果:
- 儿科和年轻成年人群之间的CGI得分或副作用率没有显著差异.
- 观察到类似的人口和临床参数,除了住院时间.
- 医院住院时间,LAIA的征兆,诊断,特定的LAIA类型和副作用治疗的显著差异.
结论:
- 在儿童和青少年中,LAIA治疗似乎与成人一样有效.
- 进一步的研究对于全面评估儿科患者的短期和长期安全性和疗效至关重要.
- 目前的发现支持考虑LAIA用于儿科精神病管理,等待进一步调查.
相关概念视频
Factors Affecting Drug Response: Overview
2.4K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.4K
Insulin: Dosing Regimen and Adverse Effects
262
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
262
Antipsychotic Drugs: Typical and Atypical Agents
320
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
320
Psychosis and Antipsychotic Drugs: Overview
458
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
458
Drug Therapy
100
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
100
Antipsychotic Drugs: Therapeutic Uses and Side Effects
385
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
385


