抗精神病药物诱导的急性喉 dystonia:一个系统的审查病例报告
Paul A Maguire1, Matthew Brazel1, Jeffrey C L Looi1
1Academic Unit of Psychiatry and Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Schizophrenia research
|January 7, 2024
概括
急性喉 dystonia (ALD) 是抗精神病药物的罕见并发症. 及时的抗胆固醇治疗对于快速缓解和预防风险患者的不良结果至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 急性喉 dystonia (ALD) 是抗精神病药物的罕见,可能致命的副作用.
- 延迟诊断和治疗ALD与死亡率增加有关.
- 第一代 (FGA) 和第二代 (SGA) 抗精神病药物都可以诱导ALD.
研究的目的:
- 系统地审查抗精神病药物诱导的急性喉 dystonia.
- 为了确定ALD的风险因素和有效的治疗方法.
主要方法:
- 在四个主要数据库 (Ovid MEDLINE,PubMed,CINAHL,EMBASE) 的系统文献综述.
- 搜索了与抗精神病药物和喉 dystonia/spasm.相关的术语.
- 包括40篇文章描述了45例抗精神病药物诱导的ALD病例.
主要成果:
- ALD与FGA和SGA都相关,但与FGA更为频繁.
- ALD发生在一系列抗精神病剂剂量中.
- 接受高强度抗精神病药物治疗的年轻男性被确定为高危人群.
结论:
- 抗胆固醇药物,特别是当通过肠道给药时,提供了快速有效的缓解.
- 在开始或调整抗精神病剂量时,对于特异性ALD需要保持警.
- 建议立即进行抗胆药治疗,以防止严重的后果.
关键词:
它具有抗胆性抗胆性作用.失声症 (Dysphonia) 是一种听力障碍.呼吸障碍 呼吸障碍 呼吸障碍迪斯托尼亚 (Dystonia) 是一种疾病.喉关节的情况斯特里多尔 (Stridor) 是一个流浪者.更多相关视频
相关概念视频
Psychosis and Antipsychotic Drugs: Overview
271
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...
271
Antipsychotic Drugs: Therapeutic Uses and Side Effects
222
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
222
Skeletal Muscle Relaxants: Therapeutic Uses
487
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
487
Antipsychotic Drugs: Typical and Atypical Agents
204
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
204
Parkinson's Disease: Treatment
273
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
273
Mania and Antimanic Drugs: Overview
186
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
186


