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新型抗焦虑药

Emerging anxiolytics.

作者信息

Pillay Nirvana S, Stein Dan J

机构信息

University of Cape Town, Department of Psychiatry, Faculty of Health Sciences, Anzio Road, Observatory 7925, South Africa.

出版信息

Expert Opin Emerg Drugs. 2007 Nov;12(4):541-54. doi: 10.1517/14728214.12.4.541.

Abstract

Anxiety disorders are the most common of the psychiatric disorders and are also associated with significant economic costs and impaired work productivity. The first-line pharmacotherapy of pharmatherapy for a number of anxiety disorders comprises selective serotonin re-uptake inhibitors (SSRIs) and serotonin and noradrenaline re-uptake inhibitors (SNRIs). Benzodiazepines are still widely used for the treatment of several anxiety disorders. Although these agents are effective, many patients are treatment-refractory and more effective, better tolerated medications are required. This paper discusses the understandings of mechanisms involved in the anxiety disorders and reviews emerging medications. Mechanisms underlying the use of d-cycloserine, second generation antipsychotics and beta-blockers are particularly exciting.

摘要

焦虑症是最常见的精神疾病,还会带来巨大的经济成本并损害工作效率。多种焦虑症的一线药物治疗包括选择性5-羟色胺再摄取抑制剂(SSRI)和5-羟色胺及去甲肾上腺素再摄取抑制剂(SNRI)。苯二氮卓类药物仍广泛用于治疗多种焦虑症。尽管这些药物有效,但许多患者治疗无效,因此需要更有效、耐受性更好的药物。本文讨论了对焦虑症发病机制的理解,并综述了新出现的药物。使用d-环丝氨酸、第二代抗精神病药物和β受体阻滞剂的潜在机制尤其令人关注。

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