Bickel M H
Schweiz Arch Neurol Psychiatr (1985). 1986;137(5):106-9.
Within psychotropic drugs acute toxicity is highest in antidepressants (thymoleptics, MAO-inhibitors, lithium), lower in neuroleptics, and very low in anxiolytics. The order of decreasing chronic toxicity is: neuroleptics, antidepressants, anxiolytics. Each class of psychotropic drugs has a specific toxicological problem. With anxiolytics the major problems stem from their misuse and overuse. With neuroleptics tardive dyskinesia is a serious threat to longterm therapy. Finally, antidepressants are characterized by a low therapeutic index and a resulting high incidence of severe and fatal poisoning cases, both intentional and accidental.
在精神药物中,抗抑郁药(抗抑郁剂、单胺氧化酶抑制剂、锂盐)的急性毒性最高,抗精神病药的急性毒性较低,而抗焦虑药的急性毒性非常低。慢性毒性递减顺序为:抗精神病药、抗抑郁药、抗焦虑药。每类精神药物都有特定的毒理学问题。抗焦虑药的主要问题源于其滥用和过度使用。抗精神病药导致的迟发性运动障碍对长期治疗构成严重威胁。最后,抗抑郁药的特点是治疗指数低,导致严重和致命中毒病例(包括故意和意外)的发生率高。