FDA批准胃食管反流病第一个仿制药物Nexium上市申请

2015-01-28 佚名 药品资讯网

近日,美国FDA批准了第一个AstraZeneca质子泵抑制剂的仿制药物Nexium。FDA指出,埃索美拉唑胶囊也批准用于降低与类固醇抗炎药相关的胃溃疡风险,联合某些抗生素一起治疗幽门螺杆菌感染,同时治疗胃酸过多,包括佐林格-埃利森综合征。 美国食品药品监督管理局(FDA)已经批准了第一个AstraZeneca质子泵抑制剂的仿制药物Nexium(埃索美拉唑镁缓释胶囊),将它用于治疗成年人和≥1岁

近日,美国FDA批准了第一个AstraZeneca质子泵抑制剂的仿制药物Nexium。FDA指出,埃索美拉唑胶囊也批准用于降低与类固醇抗炎药相关的胃溃疡风险,联合某些抗生素一起治疗幽门螺杆菌感染,同时治疗胃酸过多,包括佐林格-埃利森综合征。

美国食品药品监督管理局(FDA)已经批准了第一个AstraZeneca质子泵抑制剂的仿制药物Nexium(埃索美拉唑镁缓释胶囊),将它用于治疗成年人和≥1岁儿童的胃食管反流病(GERD)。

Ivax制药公司,美国Teva制药的一家子公司,将上市埃索美拉唑20-和40-mg胶囊。

FDA指出,埃索美拉唑胶囊也批准用于降低与类固醇抗炎药相关的胃溃疡风险,联合某些抗生素一起治疗幽门螺杆菌感染,同时治疗胃酸过多,包括佐林格-埃利森综合征。

仿制埃索美拉唑胶囊将配有一本患者用药指南,为药物使用和风险提供信息。最严重的风险是胃的问题,包括严重腹泻。指南中也指出长期每日多次服用质子泵抑制剂的人群可能会增加骨折的风险。

在临床试验上,报告显示服用埃索美拉唑镁缓释胶囊的最常见不良反应包括头痛,腹泻,恶心,胀气,腹痛,嗜睡,便秘,和口干。

“对于患者来说,选择慢性疾病的治疗方案是非常重要的。卫生保健专业人士和消费者对这些FDA批准的仿制药物可以放心,它们已经通过我们的严格标准,”Kathleen Uhl教授(FDA药物评价和研究中心仿制药物办公室主任)在一份声明如是说。

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    2015-06-01 bugit
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    2015-01-30 drwjr
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    2015-01-30 zhouqu_8
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    2015-01-30 feifers

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Gut:胃食管反流病相关研究进展

随着肥胖造成的问题呈指数性的增长,世界范围内胃肠反流性疾病及其并发症的发病率也明显增加。其中人们特别关注的是中心性肥胖和包括食管腺癌在内的胃肠反流性疾病相关并发症之间的关系。 因对胃肠反流性疾病的流行病学和病理生理学了解的深入,早期认为胃食管反流是因为一个主要机制引起的发病率增加,但目前人们越来越接受胃肠反流病是一个多因素疾病。其诱发因素例如肥胖、年龄、遗传因素、妊娠以及创伤等同样可能在胃食

NICE指南:儿童胃食管反流病

胃食管反流是一种正常的生理现象,但是当其可致严重症状而需治疗或引起并发症时则称为胃食管反流病(GORD)。在婴幼儿和儿童中,由于存在各种潜在症状且缺乏简单可靠、能广泛使用的诊断性检测方法,故难以鉴别生理性胃食管反流和病理性胃食管反流病,这会导致极大的临床实践差异。 该病可影响儿童,包括早产和足月新生儿、健康婴幼儿和儿童及确定有明确危险因素的患儿,如膈疝修补术后、其他先天性畸形、严重的

Ann Intern Med:胃食管反流病内镜筛查建议

  上消化道内镜筛查常在诊断和管理胃食管反流病(gastroesophageal reflux disease,GERD)患者时使用。12月4日,美国《内科学年鉴(Annals of Internal Medicine)》刊载的一项指南指出,内科医生对低风险GERD患者过度进行上消化道内镜检查,没有促进患者转归反而导致更高的医疗花费。[Ann In

2013 ACG胃食管反流病诊断和治疗指南

美国胃肠病学会(ACG)发布了胃食管反流病(GERD)诊断和治疗新指南。新指南包括了9条确诊GERD的建议、13条GERD治疗建议、6点概述GERD外科选择的建议、5种与PPI相关的潜在风险、7种GERD食管外表现、6条PPI难治性GERD的治疗建议以及8点GERD相关并发症。 指南下载:2013+ACG胃食管反流病诊断和治疗指南.pdf

西医对GERD的治疗

美国胃食管反流病(GERD)指南及中国胃食管反流病治疗共识意见中都明确指出,GERD的治疗目标是:缓解反流症状、治愈食管炎、提高生活质量以及预防复发和并发症。其内容主要包括以下几方面。 1生活方式改变 大量研究表明,戒烟、减少脂肪餐摄入、抬高床头、避免餐后3h平卧等可以减少食管远端的酸暴露。而某些确定的食物(如巧克力、酒精、薄荷油,还有大蒜和洋葱等)可以降低食管括约肌的压力。一些研究者认为,有

食管下端电刺激疗法可有效治疗GERD

  近期开展的3项研究表明,采用植入装置的食管下端括约肌(LES)电刺激疗法用于胃食管反流病(GERD)的治疗前景良好。   在10月份召开的美国胃肠病学会(ACG)年会上,南加州大学的临床医学教授/胃肠运动项目主管Edy Soffer博士报告称,一项开放性试点扩展研究纳入了23例GERD患者,平均年龄为53岁;所有受试者至少对质子泵抑制剂(PPI)治疗部分应答,并且非PPI治疗期间的GERD-