Department of Pharmacology, Federal University of Paraná, Curitiba, PR, Brazil.
Department of Public, Mental and Family Health, Multidisciplinary Center, Institute of Medical Sciences, Federal University of Rio de Janeiro (UFRJ)/UFRJ-Macaé, RJ, Brazil.
Acta Neuropsychiatr. 2024 Aug;36(4):189-194. doi: 10.1017/neu.2024.25. Epub 2024 Oct 2.
There is a substantial use of Complementary and Alternative Medicine (CAM) among both the general population and psychiatric patients, with only a minority of these users disclosing this information to their healthcare providers, including physicians and psychiatrists. This widespread use of CAM can impact positively or negatively on the clinical outcomes of psychiatric patients, and it is often done along with conventional medicines. Among CAM, phytotherapy has a major clinical relevance due to the introduction of potential adverse effects and drug interactions. Thus, the psychiatrist must learn about phytotherapy and stay up-to-date with solid scientific knowledge about phytotherapeutics/herbal medicines to ensure optimal outcomes for their patients. Furthermore, questions about herbal medicines should be routinely asked to psychiatric patients. Finally, scientifically sound research must be conducted on this subject.
在普通人群和精神科患者中,都大量使用补充和替代医学(CAM),其中只有少数使用者向他们的医疗保健提供者(包括医生和精神科医生)披露这些信息。CAM 的这种广泛使用可能对精神科患者的临床结果产生积极或消极的影响,而且它通常与传统药物一起使用。在 CAM 中,植物疗法由于可能产生不良反应和药物相互作用而具有重要的临床相关性。因此,精神科医生必须了解植物疗法,并掌握有关植物疗法/草药的可靠科学知识,以确保为患者提供最佳结果。此外,应定期向精神科患者询问有关草药的问题。最后,必须对这一主题进行科学合理的研究。