Schuh Michael J, Crosby Sheena
Mayo Clinic, Jacksonville, Florida.
Innov Pharm. 2021 Sep 22;12(4). doi: 10.24926/iip.v12i4.4034. eCollection 2021.
Conversion disorder (CD) is a relatively common psychiatric disorder likely encountered by clinical pharmacists but probably not easily identified by pharmacists. This is a patient case where a patient with a tremor was referred to the pharmacist led, polypharmacy, pharmacogenomics (PGx) service to rule out a PGx cause due to medication metabolism. No pharmacologic or PGx cause was found for the tremor which helped support and confirm a diagnosis of CD. By working collaboratively with psychiatrists, neurologists, physical medicine colleagues, clinical pharmacists may add value to patient care by assisting with diagnoses and appropriate treatment.
转换障碍（CD）是一种相对常见的精神疾病，临床药师可能会遇到，但可能不容易被药师识别。这是一个病例，一名震颤患者被转诊至由药师主导的多药治疗、药物基因组学（PGx）服务，以排除因药物代谢导致的PGx病因。未发现震颤的药理学或PGx病因，这有助于支持和确诊转换障碍。通过与精神科医生、神经科医生、物理医学同事合作，临床药师可以通过协助诊断和适当治疗为患者护理增添价值。
