介绍一款 2115 年 FDA 批准的专门用来治疗女性性冷感的粉红色药片 Addyi 。。。

来源: 御用文人 2017-02-09 16:28:25 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (21301 bytes)
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邓小平号召“闷头赚钱”,结果国家腐败。如果“闷头做爱”, 不会国家腐败。但是会子孙满堂。。。做丈夫的应该帮太太购买此药。"人家不好意思嘛。。。"

 

Addyi Approval History

  • FDA approved: Yes (First approved August 18th, 2015)
  • Brand name: Addyi
  • Generic name: flibanserin
  • Dosage form: Tablets
  • Company: Sprout Pharmaceuticals, Inc.
  • Treatment for: Hypoactive Sexual Desire Disorder

Addyi (flibanserin) is a novel, non-hormonal, multifunctional serotonin agonist antagonist (MSAA) for the treatment of hypoactive sexual desire disorder in premenopausal women.

Addyi (flibanserin) 100 mg tablets, developed by Sprout Pharmaceuticals, was FDA-approved on August 18, 2015 for the treatment of acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. Flibanserin is the first approved medication for HSDD, and is classified as a multifunctional serotonin agonist antagonist (MSAA).

According to the FDA, HSDD is characterized by low sexual desire that causes marked distress or interpersonal difficulty and is not due to a co-existing medical or psychiatric condition, problems within the relationship, or the effects of a medication or other drug substance. HSDD is acquired when it develops in a patient who previously had no problems with sexual desire. HSDD is generalized when it occurs regardless of the type of sexual activity, the situation or the sexual partner.

Flibanserin has been dubbed the “Female Viagra” and “the little pink pill”; however compared to Viagra, flibanserin has a distinctly different mechanism.

The proposed mechanism of action of flibanserin involves regulation of several brain chemicals that may affect sexual desire, although the exact mechanism is not known. Flibanserin is a post-synaptic 5HT1A receptor agonist and 5HT2A receptor antagonist, as noted in FDA briefing documents, and has action in the central nervous system. The manufacturer states that flibanserin corrects an imbalance of dopamine and norepinephrine (both responsible for sexual excitement), while decreasing levels of serotonin (responsible for sexual satiety/inhibition). Flibanserin is not a hormonal drug and does not affect blood flow like the class of drugs approved for men with erectile dysfunction.

Proponents of the drug emphasize the significant unmet need of a libido-enhancing drug for women. The effectiveness of the 100 mg bedtime dose of Addyi was evaluated in three 24-week randomized, double-blind, placebo-controlled trials in about 2,400 premenopausal women with acquired, generalized HSDD. On average, treatment with Addyi increased the number of satisfying sexual events by 0.5 to one additional event per month over placebo. Across the three trials, about 10 percent more Addyi-treated patients than placebo-treated patients reported meaningful improvements in satisfying sexual events, sexual desire or distress. Addyi has not been shown to enhance sexual performance.

Side effects and drug interactions with flibanserin should be well understood by both provider and patient. Addyi is contraindicated for use with alcohol, in patients with liver impairment, and in patients taking moderate-to-strong CYP3A4 inhibitors. Addyi is being approved with a risk evaluation and mitigation strategy (REMS), which includes elements to assure safe use (ETASU), as well as a Black Box Warning. Adverse effect data showed the most common side effects were dizziness, nausea and sleepiness. The risk of fainting, particularly when combined with alcohol, is a major concern. Due to this interaction Addyi will only be available from certified health care professionals and certified pharmacies. Health care professionals must assess the likelihood of the patient reliably abstaining from alcohol before prescribing Addyi and pharmacists must counsel on this interaction. The risk of fainting is also increased due to drug interactions with moderate or strong CYP3A4 inhibitors that interfere with the breakdown of Addyi in the body. FDA is requiring the manufacturer to conduct additional post-marketing studies to better define the interaction between flibanserin and alcohol.

Addyi is taken once daily, at bedtime, to help decrease the risk of fainting, sleepiness and sedation. Patients should discontinue treatment after eight weeks if they do not report an improvement in sexual desire and associated distress.

Development History and FDA Approval Process for Addyi

Date Article
Aug 18, 2015 Approval FDA Approves Addyi (flibanserin) for Hypoactive Sexual Desire Disorder in Premenopausal Women
Jun  4, 2015 FDA Advisory Committee Recommends Approval for Addyi (flibanserin) to Treat Hypoactive Sexual Desire Disorder in Premenopausal Women
Feb 17, 2015 Sprout Pharmaceuticals Resubmits Flibanserin NDA for Hypoactive Sexual Desire Disorder In Premenopausal Women
Feb 11, 2014 Sprout Pharmaceuticals Receives Clear Guidance from FDA on Path Forward to Resubmit NDA for Flibanserin
Dec 11, 2013 Sprout Pharmaceuticals Appeals FDA Decision on NDA for Flibanserin to Treat Hypoactive Sexual Desire Disorder in Premenopausal Women
Oct  8, 2010 Following Regulatory Feedback Boehringer Ingelheim Decides to Discontinue Flibanserin Development
May 19, 2010 Boehringer Ingelheim Announces New Data on Flibanserin in Pre-Menopausal Women with Hypoactive Sexual Desire Disorder

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

所有跟帖: 

适合年龄? -桃花好运- 给 桃花好运 发送悄悄话 (0 bytes) () 02/09/2017 postreply 16:35:07

向更年期过度阶段 -御用文人- 给 御用文人 发送悄悄话 (0 bytes) () 02/09/2017 postreply 16:46:36

加拿大网路药房和英国不需要处方。。。 -御用文人- 给 御用文人 发送悄悄话 (0 bytes) () 02/09/2017 postreply 17:02:32

看了,不便宜。保险公司不付吧? -桃花好运- 给 桃花好运 发送悄悄话 (0 bytes) () 02/09/2017 postreply 18:12:28

目前保险公司都不付,加拿大网售不要处方,还便宜 -御用文人- 给 御用文人 发送悄悄话 (154 bytes) () 02/09/2017 postreply 18:56:41

有人试过吗? -桃花好运- 给 桃花好运 发送悄悄话 (33 bytes) () 02/10/2017 postreply 07:35:50

根据电视台报道,效果有一些。这是愉快药,女人做爱,先要愉快。男人是视觉动物,女人是精神动物。 -御用文人- 给 御用文人 发送悄悄话 (0 bytes) () 02/10/2017 postreply 09:31:21

这话很对.... -桃花好运- 给 桃花好运 发送悄悄话 (0 bytes) () 02/10/2017 postreply 09:50:12

一百年后的药片你现在就来推销了? -Manymore- 给 Manymore 发送悄悄话 Manymore 的博客首页 (0 bytes) () 02/09/2017 postreply 19:26:44

女同胞们都等了很久了。。。 -御用文人- 给 御用文人 发送悄悄话 (89 bytes) () 02/09/2017 postreply 19:35:27

2015 or 2115? -dudaan- 给 dudaan 发送悄悄话 dudaan 的博客首页 (0 bytes) () 02/09/2017 postreply 20:34:45

本来是为抑郁症开发的,临床测试时发现许多参加测试的女性不愿停下来 -Teetrinker- 给 Teetrinker 发送悄悄话 Teetrinker 的博客首页 (119 bytes) () 02/09/2017 postreply 21:09:04

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