Raskin D E
J Clin Psychiatry. 1985 May;46(5 Pt 2):36-40.
The administration of neuroleptics in the treatment of psychosis and nonspecific behavioral disorders associated with psychotic symptoms in elderly patients is not without consequences. The potential side effects (e.g., dystonia, parkinsonian syndrome, and akathisia) of medications used in treating delirium, dementia, or confusional states are discussed. General guidelines are presented regarding choice of sedatives and antipsychotics and dosage, with attention to management of the individual elderly patient with psychosis.
在老年患者中使用抗精神病药物治疗精神病以及与精神病症状相关的非特异性行为障碍并非没有后果。本文讨论了用于治疗谵妄、痴呆或意识模糊状态的药物的潜在副作用(如肌张力障碍、帕金森综合征和静坐不能)。文中给出了关于镇静剂和抗精神病药物的选择及剂量的一般指导原则,并关注患有精神病的老年个体患者的管理。