Blackwell B, Schmidt G L
Psychiatr Clin North Am. 1984 Sep;7(3):625-37.
The mechanisms underlying psychotropic drug interactions include alterations in gastrointestinal absorption, protein-binding, specific and nonspecific metabolic degradation, receptor interactions, and renal clearance. The risk of interactions can be minimized by detailed drug history-taking, use of rapid reference sources, patient education, and physician behaviors that include serious attention to somatic complaints, identification of "at risk" situations, and rational prescribing habits.
精神药物相互作用的潜在机制包括胃肠道吸收、蛋白结合、特异性和非特异性代谢降解、受体相互作用以及肾清除率的改变。通过详细询问用药史、使用快速参考资料、患者教育以及医生的行为(包括认真关注躯体不适、识别“高危”情况和合理的处方习惯),可以将相互作用的风险降至最低。