Sack R L, Shore J H
West J Med. 1981 Mar;134(3):223-33.
Psychopharmacology has become a major approach to treatment in primary medical care. However, combined psychiatric and medical illness can give rise to some challenging diagnostic problems. Furthermore, drug treatment of patients with such illnesses can involve important drug-disease interactions and drug-drug interactions. One should keep in mind the issues that arise when an emotionally troubled patient would benefit from a psychotropic drug but a concurrent medical illness complicates this treatment. An awareness of both the medical and psychiatric issues involved may make successful treatment possible.
精神药理学已成为初级医疗保健中一种主要的治疗方法。然而,精神疾病与躯体疾病并存可能会引发一些具有挑战性的诊断问题。此外,此类疾病患者的药物治疗可能涉及重要的药物-疾病相互作用和药物-药物相互作用。当一位情绪困扰的患者可能从精神药物中获益,但同时存在的躯体疾病使这种治疗变得复杂时,人们应牢记可能出现的问题。了解所涉及的医学和精神问题可能会使成功治疗成为可能。