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本文引用的文献

1
Treatment-resistant OCD: Pharmacotherapies in adults.难治性强迫症:成人药物治疗
Compr Psychiatry. 2023 Jan;120:152352. doi: 10.1016/j.comppsych.2022.152352. Epub 2022 Oct 25.
2
Optimal Dose of Serotonin Reuptake Inhibitors for Obsessive-Compulsive Disorder in Adults: A Systematic Review and Dose-Response Meta-Analysis.成人强迫症患者血清素再摄取抑制剂的最佳剂量:一项系统评价与剂量反应荟萃分析
Front Psychiatry. 2021 Sep 23;12:717999. doi: 10.3389/fpsyt.2021.717999. eCollection 2021.
3
High-dose selective serotonin reuptake inhibitors in OCD: a systematic retrospective case notes survey.强迫症中高剂量选择性 5-羟色胺再摄取抑制剂:一项系统回顾病例报告调查。
J Psychopharmacol. 2010 Oct;24(10):1439-45. doi: 10.1177/0269881109104850. Epub 2009 Apr 7.
4
Mechanisms of action of current and potential pharmacotherapies of obsessive-compulsive disorder.强迫症当前及潜在药物疗法的作用机制。
Prog Neuropsychopharmacol Biol Psychiatry. 2006 May;30(3):362-73. doi: 10.1016/j.pnpbp.2005.11.005. Epub 2006 Jan 20.
5
Corelease of dopamine and serotonin from striatal dopamine terminals.多巴胺从纹状体多巴胺终末的共同释放。 (注:原文中“Corelease”表述有误,正确的是“Corelease”应改为“Co-release”,指共同释放;准确译文为:多巴胺和5-羟色胺从纹状体多巴胺终末的共同释放 )
Neuron. 2005 Apr 7;46(1):65-74. doi: 10.1016/j.neuron.2005.02.010.
6
Pindolol augmentation in treatment-resistant obsessive compulsive disorder: a double-blind placebo controlled trial.吲哚洛尔辅助治疗难治性强迫症:一项双盲安慰剂对照试验。
Eur Neuropsychopharmacol. 2000 May;10(3):165-9. doi: 10.1016/s0924-977x(00)00065-1.

选择性5-羟色胺再摄取抑制剂超阈值剂量治疗难治性强迫症:病例系列

Suprathreshold dosing of selective serotonin reuptake inhibitors in treatment-resistant obsessive-compulsive disorder: A case series.

作者信息

Saha Indranil, Haldar Arghya, Ghosh Shrayan, Sen Aratrika, Roy Sagarika

机构信息

Department of Psychiatry, Medical College, Kolkata, West Bengal, India.

Department of Psychiatry, Institute of Psychiatry-Centre of Excellence, Kolkata, West Bengal, India.

出版信息

Indian J Psychiatry. 2025 Aug;67(8):813-815. doi: 10.4103/indianjpsychiatry_137_25. Epub 2025 Aug 15.

DOI:10.4103/indianjpsychiatry_137_25
PMID:40918009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12410846/
Abstract

Supratherapeutic dosing of selective serotonin reuptake inhibitors (SSRIs) in obsessive-compulsive disorder (OCD) is an area of clinical interest, particularly for treatment-resistant cases. Standard SSRI doses often provide insufficient symptom relief, prompting clinicians to explore higher-than-recommended doses. Evidence suggests that supratherapeutic dosing can enhance serotonergic activity, potentially improving treatment response. However, the risk-benefit profile must be carefully considered due to side effects. While some studies support its efficacy, individual response varies, necessitating close monitoring. Further research is needed to establish optimal dosing strategies and long-term safety in OCD patients requiring intensified SSRI therapy.

摘要

在强迫症(OCD)中,选择性5-羟色胺再摄取抑制剂(SSRI)的超治疗剂量是一个临床关注领域,尤其是对于难治性病例。标准的SSRI剂量通常无法充分缓解症状,促使临床医生探索高于推荐剂量的用药。有证据表明,超治疗剂量可增强血清素能活性,有可能改善治疗反应。然而,由于副作用,必须仔细权衡风险与收益。虽然一些研究支持其疗效,但个体反应存在差异,因此需要密切监测。对于需要强化SSRI治疗的OCD患者,还需要进一步研究以确定最佳给药策略和长期安全性。