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抗抑郁药戒断综合征:现象学与病理生理学

Antidepressant withdrawal syndromes: phenomenology and pathophysiology.

作者信息

Dilsaver S C

机构信息

Department of Psychiatry, Ohio State University, Columbus.

出版信息

Acta Psychiatr Scand. 1989 Feb;79(2):113-7. doi: 10.1111/j.1600-0447.1989.tb08578.x.

DOI:10.1111/j.1600-0447.1989.tb08578.x
PMID:2923004
Abstract

The literature reporting signs and symptoms produced by the abrupt or gradual withdrawal of antidepressants is reviewed. Patients with antidepressant withdrawal syndromes are presented and principles governing their care are highlighted. Finally, the author summarizes evidence that antidepressant-induced supersensitivity of central and peripheral muscarinic cholinergic mechanisms may account for commonly observed antidepressant withdrawal phenomena.

摘要

本文回顾了有关突然或逐渐停用抗抑郁药所产生的体征和症状的文献。介绍了患有抗抑郁药戒断综合征的患者,并强调了护理他们的原则。最后,作者总结了证据,表明抗抑郁药引起的中枢和外周毒蕈碱胆碱能机制超敏反应可能是常见的抗抑郁药戒断现象的原因。

相似文献

1
Antidepressant withdrawal syndromes: phenomenology and pathophysiology.抗抑郁药戒断综合征:现象学与病理生理学
Acta Psychiatr Scand. 1989 Feb;79(2):113-7. doi: 10.1111/j.1600-0447.1989.tb08578.x.
2
Antidepressant withdrawal phenomena.抗抑郁药撤药现象。
Biol Psychiatry. 1984 Feb;19(2):237-56.
3
Antidepressant withdrawal symptoms treated with anticholinergic agents.
Am J Psychiatry. 1983 Feb;140(2):249-51. doi: 10.1176/ajp.140.2.249.
4
Abrupt withdrawal of antidepressant treatment.抗抑郁治疗的突然停药。
Am J Psychiatry. 2010 Aug;167(8):886-8. doi: 10.1176/appi.ajp.2010.10050783.
5
Antidepressant withdrawal-induced activation (hypomania and mania): mechanism and theoretical significance.抗抑郁药撤药诱发的激活(轻躁狂和躁狂):机制及理论意义
Brain Res. 1984 Mar;319(1):29-48. doi: 10.1016/0165-0173(84)90028-6.
6
Mania during antidepressant withdrawal in late-onset depression.
Int J Geriatr Psychiatry. 2013 Jun;28(6):654-5. doi: 10.1002/gps.3894.
7
Antidepressant withdrawal-induced activation (hypomania and mania): is withdrawal-induced cholinergic overdrive causally significant?抗抑郁药戒断所致激活(轻躁狂和躁狂):戒断所致胆碱能功能亢进是否具有因果关系上的重要意义?
J Clin Psychopharmacol. 1984 Jun;4(3):174-5. doi: 10.1097/00004714-198406000-00040.
8
Antidepressant withdrawal syndromes: phenomenology and pathophysiology.抗抑郁药戒断综合征:现象学与病理生理学
Int Clin Psychopharmacol. 1987 Jan;2(1):1-19. doi: 10.1097/00004850-198701000-00001.
9
Antidepressant withdrawal syndromes: evidence supporting the cholinergic overdrive hypothesis.抗抑郁药戒断综合征:支持胆碱能亢进假说的证据
J Clin Psychopharmacol. 1983 Jun;3(3):157-64.
10
Antidepressant-induced rapid cycling: six case reports.抗抑郁药诱发的快速循环:六例病例报告。
J Clin Psychopharmacol. 1993 Feb;13(1):52-6.

引用本文的文献

1
Are all antidepressants alike?所有抗抑郁药都一样吗?
Dialogues Clin Neurosci. 1999 Jun;1(1):4-11. doi: 10.31887/DCNS.1999.1.1/pschulz.
2
Steps Following Attainment of Remission: Discontinuation of Antidepressant Therapy.病情缓解后的步骤:停用抗抑郁药治疗。
Prim Care Companion J Clin Psychiatry. 2001 Aug;3(4):168-174. doi: 10.4088/pcc.v03n0404.
3
Avoiding drug-induced switching in patients with bipolar depression.避免双相抑郁症患者出现药物诱发的病情转换。
Drug Saf. 2003;26(5):337-51. doi: 10.2165/00002018-200326050-00003.
4
Antidepressant discontinuation syndromes.抗抑郁药停药综合征
Drug Saf. 2001;24(3):183-97. doi: 10.2165/00002018-200124030-00003.
5
Selective serotonin reuptake inhibitor discontinuation syndrome: proposed diagnostic criteria.选择性5-羟色胺再摄取抑制剂停药综合征:拟议的诊断标准。
J Psychiatry Neurosci. 2000 May;25(3):255-61.