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新型抗精神病药物布瑞哌唑个体化给药研究进展

王震霖 温耀祺 卢浩扬 温预关

中国临床药理学杂志2026,Vol.42Issue(16):2367-2374,8.
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中国临床药理学杂志2026,Vol.42Issue(16):2367-2374,8.DOI:10.13699/j.cnki.1001-6821.2026.16.019

新型抗精神病药物布瑞哌唑个体化给药研究进展

Progress in research on individualized dosing of the new antipsychotic drug brexpiprazole

王震霖 1温耀祺 1卢浩扬 1温预关1

作者信息

  • 1. 广州医科大学附属脑科医院Ⅰ期临床研究室,广东 广州 510370||广东省精神疾病转化医学工程技术研究中心,广东 广州 510370
  • 折叠

摘要

Abstract

Objective Brexpiprazole is a new type of antipsychotic drug,which is a partial agonist of dopamine receptor and serotonin 5-hydroxytryptamine 1A receptor(5-HT1A).It has been used in the treatment of schizophrenia,major depressive disorder and Alzheimer's disease-related agitation symptoms,with good safety and tolerance.It has a long half-life and is mainly metabolized by cytochrome P450 2D6(CYP2D6)and CYP3A4.Individual exposure differences make dose titration,therapeutic drug monitoring and drug interaction evaluation have clinical significance.This article reviews the research progress of individualized administration of brexpiprazol from the aspects of pharmacological mechanism,pharmacokinetic characteristics,population pharmacokinetics,clinical efficacy and safety,therapeutic drug monitoring,gene polymorphism and drug interaction,so as to provide reference for clinical rational drug use.

关键词

布瑞哌唑/个体化给药/群体药代动力学/治疗药物监测/基因多态性

Key words

brexpiprazole/individualized administration/population pharmacokinetics/therapeutic drug monitoring/gene polymorphism

分类

医药卫生

引用本文复制引用

王震霖,温耀祺,卢浩扬,温预关..新型抗精神病药物布瑞哌唑个体化给药研究进展[J].中国临床药理学杂志,2026,42(16):2367-2374,8.

基金项目

广东省药学会扬子江基金资助项目(2025A01033) (2025A01033)

中华国际医学交流基金资助项目(Z-2014-8-2309-5) (Z-2014-8-2309-5)

广州市临床重点专科(临床医学研究所) (临床医学研究所)

广东省药学会临床用药研究基金资助项目(2022JZ34) (2022JZ34)

广东省药学会临床治疗精准用药专项基金(2023JZ14) (2023JZ14)

中国临床药理学杂志

1001-6821

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