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Drug Therapy
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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
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Psychosis: Goals of Pharmacotherapy
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Psychosis and Antipsychotic Drugs: Overview
336
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
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Insulin Formulations: Types and Delivery
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Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
Short-acting insulins are divided into...
Short-acting insulins are divided into...
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Insulin: Dosing Regimen and Adverse Effects
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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
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Antidepressant Drugs: MAOIs and Other Agents
277
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
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短信提醒精神分裂症谱系障碍患者长效注射抗精神病药物
Christina J Chen1, Wanda Hilliard2
1Christina J. Chen, DNP, APRN, PMHNP-BC, School of Nursing, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
概括
短信提醒显著改善了长效注射抗精神病药物治疗精神分裂症谱系障碍患者的药物坚持. 这种干预增加了服药率,并减少了药物时间的变化.
科学领域:
- 精神病学是一个精神病学.
- 心理健康技术 心理健康技术
- 药理学依从性 药理学依从性
背景情况:
- 精神分裂症谱系障碍带来了慢性管理挑战.
- 在这些患者中,不坚持药物治疗会增加复发和再入院的风险.
- 与口服配方相比,长效注射 (LAI) 抗精神病药物可以提高药物坚持性.
研究的目的:
- 评估短信提醒在改善LAI抗精神病药物管理的药物坚持方面的有效性.
- 评估文本提醒对合规率和目标日变化的影响.
主要方法:
- 在西德克萨斯州社区心理健康诊所进行了一项干预前后研究.
- 在计划的LAI注射前3周,3天,3小时,发送了短信提醒.
- 该研究包括49名被诊断患有精神分裂症谱系障碍的患者,测量了符合性和目标日变异性.
主要成果:
- 干预前的遵守率为84.39%,变化时间为3.55天.
- 干预后,合规性显著增加至91.24% (p = .014).
- 目标日变异性显著降低至1.33天 (p < .05).
结论:
- 短信提醒是提高LAI抗精神病药物坚持的潜在有效干预措施.
- 这种方法可以改善药物服药性,并减少精神分裂症谱系障碍患者的时间变化.


