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抗精神病药物换药的艺术与科学,第1部分。

The art and science of switching of antipsychotic medications, part 1.

作者信息

Weiden Peter J, Young Allan H, Buckley Peter F

机构信息

Department of Psychiatry, Schizophrenia Research Program, State University of New York Downstate Medical Center, Brooklyn, USA.

出版信息

J Clin Psychiatry. 2006 Nov;67(11):e15. doi: 10.4088/jcp.1106e15.

DOI:10.4088/jcp.1106e15
PMID:17201045
Abstract

In the presentation "Prevalence of and Factors Influencing the Switching of Antipsychotic Medications," Weiden defines the recovery approach for the treatment of schizophrenia, focuses on reasons for switching antipsychotic medications, and offers recommendations for evaluating switch studies. In "Combining and Switching Medications in Bipolar Disorder," Young discusses the similarities and differences between schizophrenia and bipolar disorder, offers recommendations for switching medications in bipolar disorder, and evaluates studies of atypical antipsychotics in the treatment of bipolar disorder. Buckley's presentation, "Differential Pharmacology of Atypical Antipsychotics: Clinical Implications," examines response rates in patients with schizophrenia after switching antipsychotic medications, outlines receptor-binding profiles of atypical antipsychotics, highlights adverse events that may occur when switching antipsychotic medications, and offers recommendations for treating those adverse events.

摘要

在题为“抗精神病药物换药的患病率及影响因素”的报告中,魏登定义了精神分裂症的康复治疗方法,重点阐述了抗精神病药物换药的原因,并为评估换药研究提供了建议。在“双相情感障碍的联合用药与换药”中,杨探讨了精神分裂症和双相情感障碍之间的异同,为双相情感障碍的换药提供了建议,并评估了非典型抗精神病药物治疗双相情感障碍的研究。巴克利的报告“非典型抗精神病药物的差异药理学:临床意义”研究了抗精神病药物换药后精神分裂症患者的反应率,概述了非典型抗精神病药物的受体结合情况,强调了抗精神病药物换药时可能发生的不良事件,并为治疗这些不良事件提供了建议。

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The art and science of switching of antipsychotic medications, part 1.抗精神病药物换药的艺术与科学,第1部分。
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Switching in the era of atypical antipsychotics. An updated review.非典型抗精神病药物时代的换药。最新综述。
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引用本文的文献

1
Long-term efficacy and tolerability of quetiapine in patients with schizophrenia who switched from other antipsychotics because of inadequate therapeutic response-a prospective open-label study.喹硫平对因治疗反应不足而从其他抗精神病药物转换过来的精神分裂症患者的长期疗效和耐受性——一项前瞻性开放标签研究。
Ann Gen Psychiatry. 2015 Jan 22;14(1):1. doi: 10.1186/s12991-014-0039-6. eCollection 2015.
2
Safety and tolerability of switching to asenapine from other antipsychotic agents: pooled results from two randomized multicenter trials in stable patients with persistent negative symptoms in schizophrenia.从其他抗精神病药物转换为阿塞那平的安全性和耐受性:两项随机、多中心、稳定的精神分裂症持续性阴性症状患者的研究结果汇总。
Neuropsychiatr Dis Treat. 2012;8:247-57. doi: 10.2147/NDT.S29891. Epub 2012 Jun 15.