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病例报告:第一代抗精神病药物治疗后出现严重副作用,而卡立普嗪治疗可实现完全康复。

Case Report: Severe Side Effects Following Treatment With First Generation Antipsychotics While Cariprazine Leads to Full Recovery.

作者信息

Taube Maris

机构信息

Department of Psychiatry and Narcology, Riga Stradinš University, Riga, Latvia.

出版信息

Front Psychiatry. 2021 Dec 14;12:804073. doi: 10.3389/fpsyt.2021.804073. eCollection 2021.

Abstract

Schizophrenia is a psychiatric disorder characterized by positive, negative, cognitive and affective symptoms. Patient cooperation with health care professionals, compliance with the treatment regime, and regular use of medications are some of the preconditions that need to be met for a favorable disease course. A negative experience following the use of a first-generation antipsychotic to treat first-episode psychosis can negatively affect a patient's motivation for further medication use. In the clinical case reported here, cariprazine was able to restore one such patient's confidence in therapy and facilitated their cooperation with the physician, thereby ensuring effective control of negative and positive symptoms and good functioning for a period of 1 year. Cariprazine may be a good option for maintenance therapy following first-episode psychosis, especially in situations in which a patient has had a negative first experience associated with antipsychotic medication use.

摘要

精神分裂症是一种以阳性、阴性、认知和情感症状为特征的精神障碍。患者与医护人员的合作、对治疗方案的依从性以及药物的定期使用是疾病获得良好转归所需满足的一些前提条件。使用第一代抗精神病药物治疗首发精神病时的负面体验可能会对患者继续用药的积极性产生负面影响。在本文报告的临床病例中,卡立普唑能够恢复此类患者对治疗的信心,并促进他们与医生的合作,从而确保在1年的时间里有效控制阴性和阳性症状且功能良好。卡立普唑可能是首发精神病后维持治疗的一个良好选择,尤其是在患者有与使用抗精神病药物相关的负面首次体验的情况下。

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引用本文的文献

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本文引用的文献

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Contrasting Typical and Atypical Antipsychotic Drugs.对比典型与非典型抗精神病药物
Focus (Am Psychiatr Publ). 2021 Jan;19(1):3-13. doi: 10.1176/appi.focus.20200051. Epub 2021 Jan 25.
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Art therapy for people with psychosis: a narrative review of the literature.针对精神病患者的艺术疗法:文献综述
Lancet Psychiatry. 2016 Nov;3(11):1067-1078. doi: 10.1016/S2215-0366(16)30146-8. Epub 2016 Aug 12.

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