Efficacy and safety of Aviandr® (maritupirdine) in adjustment disorders: Results of a multicenter observational study
Abstract
Relevance. Adjustment disorders (AD) are highly prevalent in general medical practice and often present with somatic complaints. Despite the high need for pharmacotherapy, the evidence base for the use of psychotropic drugs in AD remains limited.
The Aim — to evaluate the efficacy and safety of Aviandr® (maritupirdine) for anxiety symptoms in the structure of AD in real-world clinical practice.
Materials and methods. A multicenter, open-label, observational post-registration study was conducted (N = 452). Patients received Aviandr® (40 mg/day) for
6 weeks, followed by a 2-week follow-up period. Efficacy was assessed using the SIGH-A scale, MADRS, MoCA, and VAS.
Results. By week 6, remission (SIGH-A ≤ 7) was achieved in 72.35 % of patients. A pronounced reduction in anxiety was observed as early as week 1 (a 27 %
decrease). Comparable reductions in psychic (75.13 %) and somatic (79.12 %) anxiety were recorded. The drug demonstrated high efficacy and a favorable safety
profile in elderly patients (≥ 65 years), peri- and postmenopausal women (n = 70), and individuals with comorbid somatic pathology. The overall incidence of adverse
events was 5.88 %.
Conclusion. Aviandr® has a rapid onset of action, reduces somatic manifestations of anxiety, and shows a favorable safety profile. The findings support its potential
use in patients with AD and comorbid somatic conditions.
Keywords
adjustment disorder, maritupirdine, Aviandr®, somatic anxiety, clinical practice, comorbidity, elderly patients
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