Markus Wohlschläger
Facharzt für Neurologie im Bezirksklinikum, Gabersee Wasserburg am Inn.
MMW Fortschr Med. 2006 Nov 16;148(46):31-5.
Today, the simultaneous administration of several different drugs is the rule rather than the exception. In the case of elderly patients in particular, psychopharmaceuticals are administered in combination with other substance classes, with the potential result that an unfavorable interaction of the various drugs can occur. In such a situation, it is of importance, both for the general medical specialist/internist and the psychiatrist to be acquainted with pharmacokinetic fundamentals of psychopharmaceutic drugs, in particular the role of the hepatic cytochrome P-450 system. Such knowledge is important for avoiding negative interactions and resulting complications, such as, for example, an anticholinergic syndrome or other intoxication situations.
如今,同时使用几种不同药物是常态而非例外。特别是在老年患者中,精神药物会与其他药物类别联合使用,这可能导致各种药物之间发生不良相互作用。在这种情况下,对于普通内科医生/内科专家和精神科医生而言,了解精神药物的药代动力学基本原理,尤其是肝脏细胞色素P - 450系统的作用非常重要。这些知识对于避免负面相互作用及由此产生的并发症(例如抗胆碱能综合征或其他中毒情况)至关重要。