唤醒促进剂的实际有效性和耐受性,用于治疗阻塞性睡眠呼吸暂停患者的残留嗜睡
Jessica M Roberts1, Heather Seo2, Timothy I Morgenthaler1,3
1Center for Sleep Medicine, Mayo Clinic, Rochester, MN, USA.
概括
像莫达菲尼尔这样的促进唤醒的药物可以在阻塞性睡眠呼吸暂停 (OSA) 患者中为残留的嗜睡提供部分缓解. 然而,现实世界的有效性和耐受性各不相同,需要个性化治疗计划.
科学领域:
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在阻塞性睡眠呼吸暂停 (OSA) 患者中,尽管有效的阳性气道压力 (PAP) 治疗,但残留的嗜睡仍然存在.
- 唤醒促进剂用于管理这种持久症状.
研究的目的:
- 评估成年人患有OSA和残留嗜睡的modafinil,armodafinil和solriamfetol的实际使用,有效性和耐受性.
主要方法:
- 对50名患有OSA和残留嗜睡的成年患者进行了回顾性研究.
- 分析药物使用 (莫达菲尼尔,阿莫达菲尼尔,索里亚姆菲托尔),反应率和不良事件.
主要成果:
- 莫达菲尼尔是最常见的初始剂 (80%).
- 在26%,44%和30%的患者中,分别观察到完全,部分和不良的反应.
- 有10例不良事件 (38%) 导致停止治疗;反应与OSA严重程度或PAP坚持无关.
结论:
- 在OSA中促进唤醒剂的实际有效性和耐受性与临床试验数据不同.
- 个性化治疗和关于益处和副作用的现实性患者咨询至关重要.
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