[加巴类药物在老年精神病学中的益处和风险]
1Krankenhaus für Psychiatrie, Psychotherapie und Psychosomatische Medizin Schloß Werneck, Balthasar-Neumann-Platz 1, 97440, Werneck, Deutschland. maximilian.gahr@kh-schloss-werneck.de.
像 gabapentin 和 pregabalin 这样的 gabapentinoids 在老年人中越来越多地用于治疗痴呆症症状. 虽然潜在的好处,风险,如跌倒和呼吸道问题需要谨慎.
科学领域:
- 老年精神病学是一门精神病学专业.
- 药理学 药理学是指药理学的学科.
- 神经学 神经学
背景情况:
- gabapentinoids (gabapentin,pregabalin) 越来越多地被处方,通常用于非标签用途,特别是在老年人群中.
- 这一趋势需要对其在心理老年护理中的应用进行审查.
研究的目的:
- 为了提供关于 gabapentinoid 药理学,安全性,耐受性和疗效的最新概述.
- 专注于心理老年症状,特别是痴呆症的行为和心理症状 (BPSD).
主要方法:
- 在PubMed和ScienceDirect进行了选择性的文献搜索.
- 关键词包括"加巴丁"",普雷加巴林"",痴呆症"和"老年人".
主要成果:
- gabapentinoids 通过抑制突触前电压通道的α2δ子单元来起作用.
- 潜在的益处包括迅速发病,良好的耐受性,以及在并发症条件下有效性.
- 然而,老年患者面临更高的跌倒,骨折,呼吸抑制,认知障碍和可能心房的风险.
- 对于BPSD治疗的证据有限,其中一项关于普雷加巴林的RCT显示出良好的疗效和耐受性.
- 对于老年患者的泛性焦虑障碍 (GAD) 也存在积极的RCT.
结论:
- 目前,没有足够的证据支持在老年人中推 gabapentinoids 治疗 BPSD 或 GAD.
- 如果非药理方法失败,其他药物无效,可以考虑使用 gabapentinoids 治疗 BPSD 和 GAD.
- 对个体老年患者的具体益处与风险的仔细考虑至关重要.
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