Перспективи успішного лікування хвороби Паркінсона із застосуванням апоморфіну

Пошук ефективних шляхів для корекції дофамінергічної недостатності при хворобі Паркінсона. Дослідження переносимості та перспективності застосування апоморфіну в комплексній патогенетичній терапії захворювання. Розробка методики введення леводопи.

Рубрика Медицина
Вид статья
Язык украинский
Дата добавления 18.04.2022
Размер файла 613,6 K

Отправить свою хорошую работу в базу знаний просто. Используйте форму, расположенную ниже

Студенты, аспиранты, молодые ученые, использующие базу знаний в своей учебе и работе, будут вам очень благодарны.

131. Cotzias G.C., Papavasilliou P.S., Fehling C. et al. Similarities between neurologic effects of L-dopa and of Apomorphine. N. Engl. J. Med. 1970 Jan. 282(1). 31-33.

132. Pessoa R.R., Moro А., Munhoz R.P. Apomorphine in the treatment of Parkinson's disease: a review. Arq. Neuropsiquiatr 2018. 76(12). 840-848.

133. Hughes A.J., Lees A.J., Stern G.M. The motor response to sequential apomorphine in parkinsonian fluctuations. J. Neurol. Neurosurg. Psychiatry. 1991 Apr. 54(4). 358-60. https://doi.org/10.1136/ jnnp.54.4.358.

134. Kempster P.A., Frankel J.P, Stern G.M. Comparison of motor response to apomorphine and levodopa in Parkinson's disease. Journal of Neurology, Neurosurgery, and Psychiatry. 1990. 53. 10041007.

Базові огляди, що використовувались при підготовці даної публікації

1. Bhidayasiri R., Chaudhuri K.R., LeWitt P., Martin А., Boon- pang K., van Laar Т. Effective Delivery of Apomorphine in the Management of Parkinson Disease: Practical Considerations for Clinicians and Parkinson Nurses. Clinical Neuropharmacology. May/June 2015. Vol. 38. № 3.

1. Carbone F, Djamshidian A., Seppi K., Poewe W. Apomorphine for Parkinson's Disease: Efficacy and Safety of Current and New Formulations. Published online: 31 August 2019. CNS Drugs. https://doi. org/10.1007/s40263-019-00661-z.

2. Isaacson S, Lew M, Ondo W, Hubble J, Clinch T, Pagan F. Apomorphine Subcutaneous Injection for the Management of Morning Akinesia in Parkinson's Disease. Movement Disorders Clinical Practice published by Wiley Periodicals, Inc. on behalf of the International Parkinson and Movement Disorder Society. 2016. doi:10.1002/ mdc3.12350.

3. Jenner P, Katzenschlager R. Apomorphine -- pharmacological properties and clinical trials in Parkinson's disease. Parkinsonism and Related Disorders. 2016. http://dx.doi.org/10.1016Zj.parkrel- dis.2016.12.003.

4. Katzenschlager R, Poewe W, Rascol O., Trenkwalder C., Deuschl G, Chaudhuri K.R., Henriksen T, van Laar T, Spivey K, Vel S, Staines H, Lees A. Apomorphine subcutaneous infusion in patients with Parkinson's disease with persistent motor fluctuations (TOLEDO): a multicentre, double-blind, randomised, placebo-controlled trial. Lancet Neurol. 2018. 17. 749-759. Published Online July 25, 2018. http://dx.doi.org/10.1016/S1474-4422(18)30239-4.

5. Kempster P.A, Frankel J.P, Stern G.M., LeesA.J. Comparison of motor response to apomorphine and levodopa in Parkinson's disease. Journal ofNeurology, Neurosurgery, and Psychiatry. 1990. 53. 1004-1007.

6. Marxreiter F., Gabner H., Borozdina O., Barth J., Kohl Z., Schlachetzki J.C.M., Thun-Hohenstein C., Volc D., Eskofier B.M., Winkler J., Klucken J. Sensor-based gait analysis of individualized improvement during apomorphine titration in Parkinson's disease. Journal of Neurology. Published online 08 September 2018. https:// doi.org/10.1007/s00415-018-9012-7.

7. Ameghino L., Rossi M. Apomorphine, More Evidence for An Old Drug: A Key for Therapy Generalization? Movement disorders clinical practice. 2019. 6(2). 118-119. doi: 10.1002/mdc3.12717.

8. Manson A.J., Turner K., Lees A.J. Apomorphine Monotherapy in the Treatment of Refractory Motor Complications of Parkin - son's Disease: Long-Term Follow-Up Study of 64 Patients. Movement Disorders. 2002. Vol. 17. № 6. Р. 1235-1241. DOI 10.1002/ mds.10281.

9. Merello M, Pikiely R, Cammarota A., Leiguarda R. Comparison of Subcutaneus Apomorphine Versus Dispersible Madopar Latency and Effect Duration in Parkinson's Disease Patients: A Doble- Blind Single-Dose Study. Brief Report. Clinical Neuropharmaco- logy.1997. Vol. 20. № 2. P. 165-167.

10. Trenkwalder C, ChaudhuriK.R., RuizP.J.G., LeWitt P, Katzenschlager R., Sixel-Doring F, Henriksen Т, Sesar А., Poewe W, on behalf of an Expert Consensus Group for the Use of Apomorphine in Parkinson's Disease; Baker М, Ceballos-Baumann А, Deuschl G, Drapier S, Ebersbach G, Evans А, Fernandez H, Isaacson S, van Laar T, Lees А., Lewis S, Castrillo J.C.M., Martinez-Martin P, Odin P, O'Sullivan J., Tagaris G, Wenzel K Review. Expert Consensus Group report on the use of apomorphine in the treatment of Parkinson 's disease -- Clinical practice recommendations. Parkinsonism and Related Disorders. 2015. http://dx.doi.org/10.1016Zj.parkrel- dis.2015.06.012.

11. Wenzel К., Homann C.N., Fabbrini G, Colosimo C. The role of subcutaneous infusion of apomorphine in Parkinson's disease. Expert Review of Neurotherapeutics. 14. 7. 833-843. DOI: 10.1586/14737175.2014.928202.

12. Pessoa R.R., Moro А., Munhoz R.P., Teive H.A.G., Lees A.J. Apomorphine in the treatment of Parkinson's disease: a review O uso da apomorfina no tratamento da doenga de Parkinson: revisao da lit- eratura. Arq. Neuropsiquiatr. 2018. 76(12). 840-848.

13. Ponte S.N., Malo C.G., Quilez. M.R.B., Alonso P.S. A Novel Method of Treating ApomorphineInduced Subcutaneous Nodules. Movement disorders clinical practice. 2020. 7(1). 83-85. doi: 10.1002/ mdc3.12853.

Abstract

Prospects for successful treatment of Parkinson's disease with the use of apomorphine

I.M. Karaban, N.V. Karasevych, T.V. Hasiuk

State Institution "D.F. Chebotarev Institute of Gerontology of the National Academy of Medical Sciences of Ukraine", Kyiv, Ukraine

Optimizing the treatment of idiopathic Parkinson's disease is a complex, multifaceted and continuous process that directly affects quality of life. The main position of this review is the need for individualized therapy that provides optimal motor function with the least negative consequences. Apomorphine, a dopamine agonist used as emergency therapy for patients with motor fluctuations with a potential positive effect on non-motor symptoms, is the only antiparkinsonian drug whose ability to control motor symptoms is equivalent to that of levodopa. Subcutaneous administration as a periodic injection is the most effective and affordable way to correct dopaminergic insufficiency in Parkinson's disease. The data of multicenter studies presented in the review confirm the high efficiency, adequate tolerability and prospects of apomorphine use in comprehensive pathogenetic therapy of the disease. This review contains the historical reference and generalizes structure, the mechanism of action, pharmacodynamics, indications, contraindications and side effects in subcutaneous injections of apomorphine at the advanced stages of a clinical course of Parkinson's disease.

Keywords: Parkinson's disease; apomorphine; pharmacokinetics; mechanism of action; clinical trials; indications and contraindications

Размещено на Allbest.ru


Подобные документы

Работы в архивах красиво оформлены согласно требованиям ВУЗов и содержат рисунки, диаграммы, формулы и т.д.
PPT, PPTX и PDF-файлы представлены только в архивах.
Рекомендуем скачать работу.