Samidorphan for the treatment of weight gain associated with olanzapine in patients with schizophrenia and bipolar disorder

Autor: Junfa Gao, Junsheng Li, Xiuhua Lu, Junyi Yang
Rok vydání: 2022
Předmět:
Zdroj: Expert Review of Clinical Pharmacology. 15:1011-1016
ISSN: 1751-2441
1751-2433
DOI: 10.1080/17512433.2022.2118111
Popis: Olanzapine (OLZ) is one of the most effective antipsychotic agents, however, its clinical utility has been limited by weight gain. Samidorphan (SAM) is a μ-opioid receptor antagonist and it can reduce the weight gain associated with OLZ. A combination of OLZ and SAM (OLZ/SAM) has been developed to provide the antipsychotic efficacy of OLZ, while mitigating OLZ-associated weight gain.A comprehensive literature search was conducted in PubMed. Key search terms included SAM and weight gain associated with OLZ. The pharmacological action, clinical efficacy, and safety of SAM were reviewed.OLZ can lead to weight gain. SAM is a new drug that acts as an opioid receptor antagonist that can decrease weight gain. SAM mitigates OLZ-associated weight gain while preserving the antipsychotic efficacy of OLZ. Clinical trials have confirmed that OLZ/SAM significantly improved psychotic symptoms, and resulted in significantly less weight gain than OLZ. OLZ/SAM was well tolerated. Therefore, it is a potential new treatment option for schizophrenia.
Databáze: OpenAIRE