Sterr Andrea, Amann Benedikt, Grunze Heinz
Psychiatrische Universitätsklinik der LMU München.
Psychiatr Prax. 2006 Mar;33 Suppl 1:S47-54. doi: 10.1055/s-2005-867026.
Until recently, the psychopharmacological treatment alternatives for bipolar maintenance treatment were limited to lithium, which seems of special usefulness in a classical manifestation of the illness with mood-stabilising and anti-suicidal properties. With atypical features like psychotic symptoms or rapid cycling, lithium seems to be less useful. This led to further research into alternative options as carbamazepine, valproate or lamotrigine as well as atypical neuroleptics, thyroid hormones or innovative substances like omega fatty acids. This article summarises the current state of knowledge on treatment options for maintenance therapy.
直到最近,双相情感障碍维持治疗的精神药理学治疗选择还仅限于锂盐,锂盐在该疾病的经典表现中似乎特别有用,具有稳定情绪和抗自杀特性。对于伴有精神病性症状或快速循环等非典型特征的情况,锂盐似乎用处较小。这促使人们进一步研究其他选择,如卡马西平、丙戊酸盐或拉莫三嗪,以及非典型抗精神病药物、甲状腺激素或ω-脂肪酸等创新物质。本文总结了维持治疗的治疗选择的当前知识状态。