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[非精神科药物的致焦虑和致抑郁副作用]

[Anxiogenic and depressogenic side-effects of non-psychiatric drugs].

作者信息

Kirilly Eszter, Gonda Xénia, Juhász Gabriella, Bagdy György

机构信息

Semmelweis Egyetem, Gyógyszerésztudományi Kar Gyógyszerhatástani Intézet Budapest Nagyvárad tér 4. 1089.

出版信息

Orv Hetil. 2013 Aug 25;154(34):1327-36. doi: 10.1556/OH.2013.29681.

Abstract

Although medications such as anticancer, antimicrobial, immunomodulatory, neurological or hormonal therapies may have a negative impact on mood, adequate attention was not paid until the withdrawal of rimonabant in 2008. In the present study the authors review full spectrum of currently available medications discussing anxiety and depression as possible adverse effects of treatment. A relatively high risk of depression should always be considered when pharmacotherapy applied, especially if current depressive episodes, positive family history, or neurotic personality traits increasing susceptibility to depressogenic effects. Prior to start of medical treatment, the potential effectiveness of the given drug should be precisely evaluated, and alternative medical and non-medical treatment options should also be carefully considered. In addition, monitoring patients during treatment for signs of depressive or anxious symptoms is necessary.

摘要

尽管抗癌、抗菌、免疫调节、神经或激素疗法等药物可能对情绪产生负面影响,但直到2008年利莫那班撤市才引起足够重视。在本研究中,作者回顾了目前可用药物的全貌,讨论了焦虑和抑郁作为治疗可能的不良反应。应用药物治疗时应始终考虑到相对较高的抑郁风险,尤其是在存在当前抑郁发作、阳性家族史或神经质人格特质等增加对抑郁影响易感性的情况下。在开始药物治疗之前,应精确评估给定药物的潜在疗效,同时也应仔细考虑替代的医学和非医学治疗选择。此外,在治疗期间监测患者是否有抑郁或焦虑症状的迹象是必要的。

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