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非典型抗精神病药物治疗心境障碍

Atypical antipsychotics in the treatment of mood disorders.

作者信息

Jarema Marek

机构信息

III Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland.

出版信息

Curr Opin Psychiatry. 2007 Jan;20(1):23-9. doi: 10.1097/YCO.0b013e328010e29b.

Abstract

PURPOSE OF REVIEW

The aim of the present study is to evaluate the use and the usefulness of atypical antipsychotics in patients with affective symptomatology. Recent literature has been reviewed to show the potential use and usefulness of the atypical medications in patients suffering from depression or mania.

RECENT FINDINGS

The use of amisulpride, aripiprazole, olanzapine, quetiapine, risperidone, and ziprasidone in depression (both bipolar I and II) as well as in manic states has been evaluated. Preference was given to well designed randomized clinical trials. The effectiveness of the atypical antipsychotics in manic states has been shown. It is suggested that when an antipsychotic agent is needed, preference should be given to an atypical antipsychotic over the classic drug.

SUMMARY

The potential benefit from the use of atypical antipsychotics in both depression and mania seems to be clinically justified.

摘要

综述目的

本研究旨在评估非典型抗精神病药物在伴有情感症状的患者中的使用情况及效用。回顾近期文献以展示非典型药物在患有抑郁症或躁狂症患者中的潜在用途及效用。

近期发现

已评估氨磺必利、阿立哌唑、奥氮平、喹硫平、利培酮和齐拉西酮在抑郁症(双相I型和II型)以及躁狂状态中的使用情况。优先考虑设计良好的随机临床试验。已证明非典型抗精神病药物在躁狂状态中的有效性。建议当需要使用抗精神病药物时,相较于经典药物应优先选择非典型抗精神病药物。

总结

在抑郁症和躁狂症中使用非典型抗精神病药物的潜在益处似乎在临床上是合理的。

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