Uchida H, Pollock B G, Bies R R, Mamo D C
Centre for Addiction and Mental Health, Geriatric Mental Health Program, Ontario, Canada.
Clin Pharmacol Ther. 2009 Oct;86(4):360-2. doi: 10.1038/clpt.2009.133.
Antipsychotic medications are the standard of care for both acute and maintenance treatment of schizophrenia, the latter requiring an indefinite treatment across a patient's life span. However, dosing and tolerability of antipsychotics have been studied primarily in younger patients, and very limited data are available for age- and phase-specific dosing. This leaves the clinician with no guidance on dose adjustment as patients grow older-an issue of critical importance, especially in light of recent concerns about increased morbidity and mortality associated with antipsychotics.
抗精神病药物是精神分裂症急性和维持治疗的标准治疗方法,后者需要在患者的整个生命周期内进行无限期治疗。然而,抗精神病药物的剂量和耐受性主要是在年轻患者中进行研究的,关于年龄和阶段特异性剂量的可用数据非常有限。随着患者年龄的增长,这使得临床医生在剂量调整方面没有指导——这是一个至关重要的问题,特别是鉴于最近对抗精神病药物相关发病率和死亡率增加的担忧。