Weintraub E, Robinson C
University of Maryland Medical System, Baltimore, Maryland 21201, USA.
Ann Clin Psychiatry. 2000 Dec;12(4):247-9. doi: 10.1023/a:1009042728357.
To emphasize the availability of safer alternatives to currently standard therapy for monosymptomatic hypochondriacal psychosis (MHP).
We report a case of treatment of monosymptomatic hypochondriacal psychosis in an elderly woman with the atypical neuroleptic olanzapine.
Treatment with rather low doses of olanzapine led to complete resolution of delusional symptoms.
Olanzapine, like other atypical neuroleptic agents, shows promise as a treatment for this syndrome, and it offers considerable safety and side-effect advantages over older agents.
强调对于单症状疑病性精神病(MHP),目前有比标准治疗更安全的替代疗法可供选择。
我们报告了一例老年女性单症状疑病性精神病患者使用非典型抗精神病药物奥氮平治疗的病例。
使用相当低剂量的奥氮平治疗使妄想症状完全缓解。
与其他非典型抗精神病药物一样,奥氮平有望用于治疗该综合征,并且与 older agents 相比,它具有相当大的安全性和副作用优势。 (注:这里 older agents 不太明确具体所指,可能是旧的抗精神病药物之类的意思,需结合更多背景信息准确理解)