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Brexpiprazole, a novel atypical antipsychotic drug, has therapeutic effects in the treatment and prevention of relapse of schizophrenia. It exerts its efficacy through partial agonism of dopamine D2 receptor and 5-hydroxytryptamine receptor 1A (5-HT1A), as well as antagonism of 5-HT2A receptor. In terms of pharmacokinetics, it features high oral bioavailability, a long half-life, and minimal influence of food on its absorption. Multiple clinical trials have confirmed its effectiveness in the acute treatment (2-4mg every day) and maintenance treatment (1-4mg every day) of schizophrenia. Regarding safety, common adverse reactions include akathisia and weight gain, with a relatively low risk of metabolic abnormalities. No systematic review of brexpiprazole has been published in China. This article conducts a systematic search for the first time and reviews it from aspects such as its mechanism of action, pharmacokinetic characteristics, clinical efficacy, and safety, providing a reference for rational clinical use.
, authors=Hong-yu ZHANG
1, 2, Nan WANG
1, 2, Sha SHA
1, 2, Fei JIA
1, 2, authorsList=Hong-yu ZHANG, Nan WANG, Sha SHA, Fei JIA, authorCompany=null, correspAuthors=Fei JIA, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1292126397774979145, articleId=1292126395765907527, tenantId=1146029695717560320, journalId=1246415772164075586, language=CN, title=新型非典型抗精神病药布瑞哌唑的研究现状, columnId=1246531408819278046, journalTitle=中国临床药理学杂志, columnName=综述, runingTitle=null, highlight=null, articleAbstract=
布瑞哌唑作为一种新型非典型抗精神病药物,在精神分裂症的治疗和复发预防中具有疗效,该药通过对多巴胺D2受体、5-羟色胺(5-HT1A)受体的部分激动作用以及对5-HT2A受体等的拮抗作用发挥疗效。药代动力学方面,具有口服生物利用度高、半衰期长、食物对其吸收影响小等特点。多项临床试验证实其在精神分裂症急性期治疗(每日2~4 mg)和维持治疗(每日1~4 mg)中的有效性;安全性上,常见不良反应为静坐不能和体重增加,代谢异常风险较低。布瑞哌唑在国内尚无系统综述发表,本文首次进行系统检索,从布瑞哌唑的作用机制、药代动力学特点、临床疗效及安全性等方面进行综述,为临床合理用药提供参考。
, authors=张红玉
1, 2, 王楠
1, 2, 沙莎
1, 2, 贾菲
1, 2, authorsList=张红玉, 王楠, 沙莎, 贾菲, authorCompany=null, correspAuthors=贾菲, authorNote=
张红玉(1991-),女,主管药师,从事精神药理学与中药学的工作和研究
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