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从证据到实践:合成抗抑郁药治疗副作用的综合分析

From Evidence to Practice: A Comprehensive Analysis of Side Effects in Synthetic Anti-Depressant Therapy.

作者信息

Pannu Arzoo, Goyal Ramesh K

机构信息

Department of Pharmacology, Delhi Pharmaceutical Sciences & Research University, Delhi, 110017, India.

出版信息

Curr Drug Saf. 2025;20(2):120-147. doi: 10.2174/0115748863301630240417071353.

Abstract

Depression, a pervasive mental health disorder, affects millions worldwide, necessitating the widespread use of synthetic anti-depressant medications. While these pharmaceutical interventions have demonstrated efficacy in alleviating depressive symptoms, they are not without their associated side effects. This review provides a comprehensive overview of the side effects of synthetic anti-depressants, aiming to enhance the understanding of their clinical implications. Common side effects explored include gastrointestinal disturbances, sexual dysfunction, insomnia, weight gain, and cognitive impairments. Additionally, this review delves into less frequent but potentially severe adverse events, such as serotonin syndrome, hyponatremia, and cardiac complications associated with specific classes of synthetic anti-depressants. Moreover, the review examines the interplay between side effects and treatment adherence, emphasizing the importance of monitoring and managing these effects in clinical practice. It also discusses strategies to mitigate side effects, including dose adjustments, combination therapy, and alternative treatment approaches. In conclusion, this comprehensive review sheds light on the multifaceted landscape of side effects associated with synthetic anti-depressants. By providing clinicians with a nuanced understanding of these effects, it aims to facilitate informed decision-making, personalized treatment plans, and improved patient outcomes in managing depression.

摘要

抑郁症是一种普遍存在的心理健康障碍,影响着全球数百万人,这使得合成抗抑郁药物被广泛使用。虽然这些药物干预在减轻抑郁症状方面已显示出疗效,但它们并非没有相关的副作用。本综述全面概述了合成抗抑郁药的副作用,旨在增进对其临床意义的理解。探讨的常见副作用包括胃肠道紊乱、性功能障碍、失眠、体重增加和认知障碍。此外,本综述还深入研究了不太常见但可能严重的不良事件,如5-羟色胺综合征、低钠血症以及与特定类别的合成抗抑郁药相关的心脏并发症。此外,该综述还研究了副作用与治疗依从性之间的相互作用,强调了在临床实践中监测和管理这些副作用的重要性。它还讨论了减轻副作用的策略,包括剂量调整、联合治疗和替代治疗方法。总之,这一全面综述揭示了与合成抗抑郁药相关的副作用的多方面情况。通过为临床医生提供对这些副作用的细致理解,它旨在促进明智的决策、个性化的治疗方案,并改善抑郁症管理中的患者预后。

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