AD/HD治療薬国別状況
英語圏の国で収集できる範囲でまとめてみた。
Australia
http://www.mydr.com.au/drugs/drugs.asp
| Ritalin | Ritalin LA | Concerta | Strattera | Daytrana | ||
|---|---|---|---|---|---|---|
| Indication | ADHD | ADHD | ADHD | ADHD | ||
| Narcolepsy | ||||||
| Age | > 6 yrs old | > 6 yrs old | 6 – 18 | >6 yrs | ||
| Adult Use | Approved | Approved | N.A.*1 | prescribable*2 |
■List of medication used to treat AD/HD in Australia
Attenta Tablets, Chemmart Methylphenidate Tablets, Concerta Extended-Release Tablets, Dexamphetamine Tablets, Douglas-Methylphenidate Tablets, GenRx Methylphenidate Tablets, Ritalin LA Capsules, Ritalin Tablets, Strattera Capsules, Terry White Chemists Methylphenidate Tablets
Canada
http://www.health.gov.on.ca/index.html
| Ritalin | Ritalin LA | Concerta | Strattera | Daytrana | ||
|---|---|---|---|---|---|---|
| Indication | ADHD | ADHD | ADHD | |||
| Narcolepsy | ||||||
| Age | > 6 yrs old | > 6 yrs old | >6 yrs old | |||
| Adult Use | Approved | Approved | Approved |
Other medication used to treat patients with AD/HD: Ritalin XR, Dexedrin.
Cylert (pemoline) is not used to treat the condition.
United States
FDAで承認されているAD/HD治療薬 (Stiffmuscleの日記)を参照されたし
http://d.hatena.ne.jp/Stiffmuscle/20071022/p1
Adderall, Dexedrine, DextroStat, Dexedrine Spansule, Adderall XR, Lisdexamfetamine*3, Focalin, Methylin, Ritalin, Metadate ER, Metadate CD, Ritalin LA, Methylin ER, Ritalin SR, Metadate CD, Concerta, Daytrana patch, Focalin XR, Strattera
United Kingdom
| Ritalin | Ritalin LA | Concerta | Strattera | Daytrana | ||
|---|---|---|---|---|---|---|
| Indication | ADHD | ADHD | ADHD | |||
| Age | > 6 yrs old | > 6 yrs old | >6 yrs | |||
| Adult Use | N.A. | N.A. | note 1 |
note 1: In adolescents whose symptoms persist into adulthood and who have shown clear benefit from treatment, it may be appropriate to continue treatment into adulthood. However, start of treatment with Strattera in adults is not appropriate.
（おおまかな訳）青年期（12〜18歳）の患者で成人しても症状が続いている場合、明らかなベネフィットが認められる場合は処方可能だが、成人がストラテラで治療開始するのは適切でない
（追記）
■ Other methylphenidate preparations available in UK
Equasym Tablet[Methylphenidate], Equasym XL Capsule[Methylphenidate hydrochloride USP], Medikinet Tablet [Methylphenidate hydrochloride USP], Medikinet XL [Methylphenidate hydrochloride USP]
アンフェタミン類は使えないようだが、錠剤も徐放剤も揃ってるし、コンサータも錠剤とカプセルがある。日本とは状況がまったく違うようだ。
（追記おわり）
JAPAN
| Ritalin | Ritalin LA | Concerta | Strattera*4 | Daytrana | ||
|---|---|---|---|---|---|---|
| Indication | Narcolepsy | ADHD | ADHD | |||
| Age | 6 – 13 (18) | Unknown | ||||
| Adult Use | N.A. | Unknown |
日本はリタリンすら使えない点で論外だが、イギリスも公的には成人のAD/HDの投薬治療にはかなり消極的なようだ。他のEU諸国はどうなのか気になるが、英語しか読めないわたしにはわからない・・・
気になる論文*5
Scheffler RM, Hinshaw SP, Modrek S, Levine P.
The Global Market for ADHD Medication.
Health Affairs. March/April 2007. 26(2).
http://content.healthaffairs.org/cgi/content/abstract/26/2/450
＊上の論文の概略
Global Use of ADHD Medications Rises Dramatically (NIMH·Science News from 2007)
http://www.nimh.nih.gov/science-news/2007/global-use-of-adhd-medications-rises-dramatically.shtml
