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我从帮助成千上万的人逐渐停用抗抑郁药和其他精神药物中学到的东西。

What I have learnt from helping thousands of people taper off antidepressants and other psychotropic medications.

作者信息

Framer Adele

机构信息

SurvivingAntidepressants.org, San Francisco, California, USA.

出版信息

Ther Adv Psychopharmacol. 2021 Mar 16;11:2045125321991274. doi: 10.1177/2045125321991274. eCollection 2021.

Abstract

Although psychiatric drug withdrawal syndromes have been recognized since the 1950s - recent studies confirm antidepressant withdrawal syndrome incidence upwards of 40% - medical information about how to safely go off the drugs has been lacking. To fill this gap, over the last 25 years, patients have developed a robust Internet-based subculture of peer support for tapering off psychiatric drugs and recovering from withdrawal syndrome. This account from the founder of such an online community covers lessons learned from thousands of patients regarding common experiences with medical providers, identification of adverse drug reactions, risk factors for withdrawal, tapering techniques, withdrawal symptoms, protracted withdrawal syndrome, and strategies to cope with symptoms, in the context of the existing scientific literature.

摘要

尽管自20世纪50年代以来,精神科药物戒断综合征就已被认识到——最近的研究证实,抗抑郁药戒断综合征的发生率超过40%——但关于如何安全停药的医学信息一直匮乏。为了填补这一空白,在过去25年里,患者们形成了一种强大的基于互联网的亚文化,通过同伴支持来逐渐减少精神科药物用量并从戒断综合征中恢复。这个在线社区创始人的叙述,结合现有的科学文献,涵盖了从数千名患者身上吸取的经验教训,内容涉及与医疗服务提供者的常见经历、药物不良反应的识别、戒断的风险因素、逐渐减量技术、戒断症状、迁延性戒断综合征以及应对症状的策略。

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