Schmidmeier Richard
Facharzt für Psychiatrie und Psychotherapie, Nervenarzt am Bezirksklinikum Gabersee Wasserburg am Inn.
MMW Fortschr Med. 2006 Nov 16;148(46):27-9.
Psychopharmaceutic drugs are among those most commonly prescribed by general practitioners. They include in particular antidepressants, neuroleptics/antipsychotics and mood stabilizers. Their wide indication window makes it necessary that the physician be familiar with potential somatic side effects. The group of antidementia drugs, tranquilizers and anxiolytics are unlikely to be associated with relevant somatic side effects. Routine controlling of laboratory parameters and ECG performed at regular intervals are indicated in particular in patients receiving neuroleptics. In the event of severe side effects or a suspected overdose, determination of plasma concentration (therapeutic drug monitoring) is recommended.
精神药物是全科医生最常开具的药物之一。它们尤其包括抗抑郁药、抗精神病药和心境稳定剂。其广泛的适应症范围使得医生有必要熟悉潜在的躯体副作用。抗痴呆药、镇静剂和抗焦虑药不太可能伴有相关的躯体副作用。特别是对于接受抗精神病药治疗的患者，建议定期进行实验室参数和心电图的常规检查。如果出现严重副作用或疑似用药过量，建议测定血浆浓度（治疗药物监测）。
