Benich Joseph J, Bragg Scott W, Freedy John R
Department of Family Medicine, Medical University of South Carolina, 5 Charleston Center, Suite 263, Charleston, SC 29425, USA.
Department of Family Medicine, South Carolina College of Pharmacy (MUSC Campus), Medical University of South Carolina, 5 Charleston Center, Suite 263, Charleston, SC 29425, USA.
Prim Care. 2016 Jun;43(2):327-40. doi: 10.1016/j.pop.2016.01.002.
Psychopharmacology requires clinicians to stay current on the latest guidelines and to use dynamic treatment strategies. Psychiatric conditions are prevalent in the primary care population. Choice of treatment with psychopharmacology should be based on controlling the patient's predominant symptoms while taking into consideration patient age, treatment compliance, patient past response to treatments, dosing frequency, patient preference, medication side effects, potential medication interactions, drug precautions/warnings, and cost. Response to therapy, as well as side effects, needs to be evaluated at regular intervals. The goal is to minimize symptoms and return patients to their maximal level of functioning.
精神药理学要求临床医生紧跟最新指南，并采用动态治疗策略。精神疾病在初级保健人群中很普遍。精神药理学治疗方案的选择应基于控制患者的主要症状，同时要考虑患者年龄、治疗依从性、患者既往治疗反应、给药频率、患者偏好、药物副作用、潜在药物相互作用、药物预防措施/警告以及成本。需要定期评估治疗反应以及副作用。目标是将症状降至最低，并使患者恢复到最高功能水平。
