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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.

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。

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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.
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.

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