π¨ New Pharmacotherapy for Obstructive Sleep Apnoea ππ
In a landmark Phase 2 trial published in The Lancet, sultiameβ a carbonic anhydrase inhibitorβshowed dose-dependent reduction in AHI and improved nocturnal oxygenation in adults with moderateβsevere OSA.
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π‘ Key insights:
β’ 298 participants across 5 European countries
β’ 200 mg daily delivered the best efficacy-to-tolerability balance
β’ Benefits most notable in sleepy phenotypes (ESS >10)
β’ Mild, dose-related paraesthesia most common AE
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π¬ A promising step toward precision sleep medicine and pharmacologic options for patients who struggle with CPAP.
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π¬οΈ Better breathing by night β brighter cognition by day.
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π Lancet, 2025 β FLOW Study (Randerath et al.)