Howland Robert H
University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213, USA.
J Psychosoc Nurs Ment Health Serv. 2012 Jul;50(7):13-5. doi: 10.3928/02793695-20120607-01. Epub 2012 Jun 15.
Given the availability of a large and diverse number of medications for the treatment of various mental disorders, how should a clinician decide which medication(s) to try for any particular patient? This article explores eight questions that should be considered when selecting medication for a patient. Medication selection should be individually tailored by the answers to these questions, which take into account factors such as the diagnosis and associated symptoms, the expected efficacy/tolerability profile, medical and psychiatric comorbidity, concurrent drug use, past treatment history, family history, patient/family preferences, and cost considerations.
鉴于有大量各种各样的药物可用于治疗各种精神障碍，临床医生应如何决定为任何特定患者尝试使用哪种药物呢？本文探讨了为患者选择药物时应考虑的八个问题。药物选择应根据这些问题的答案进行个体化定制，这些问题考虑了诸如诊断和相关症状、预期的疗效/耐受性概况、医学和精神科合并症、同时使用的药物、过去的治疗史、家族史、患者/家属偏好以及成本考虑等因素。
