抗抑郁药和经典迷幻药的同时使用:一个范围审查
Stephan C Tap1, Kelan Thomas2, Tomáš Páleníček3
1Department of Psychiatry, Groningen University Medical Centre, Groningen, the Netherlands.
Journal of psychopharmacology (Oxford, England)
|September 12, 2025
概括
在经典的迷幻疗法中继续服用抗抑郁药 (ADs) 是安全的,可以容忍的,可能会改善患者的治疗机会,并避免停药的副作用. 这种方法可能是强制性AD撤回的可行替代方案.
科学领域:
- 精神病学和神经科学 精神病学和神经科学
- 药理学 药理学是指药理学的学科.
- 临床心理学 临床心理学
背景情况:
- 经典的迷幻药在治疗精神疾病方面表现有前途.
- 目前的协议要求停止抗抑郁药 (AD),冒着患者负担和症状恶化的风险.
- 戒除AD可能是不必要的,并且可能会损害迷幻疗法的疗效.
研究的目的:
- 审查关于常规ADS与古典迷幻药在人类同时使用的文献.
- 评估这种综合方法的安全性,耐受性,有效性和主观影响.
- 为了告知临床实践关于AD在迷幻治疗期间的AD管理.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 搜索了MEDLINE,Embase和Scopus数据库 (开始至2025年3月3日).
- 从包括的18项研究中绘制系统数据图表.
主要成果:
- 同时使用AD和经典的迷幻药物通常是安全的,并且耐受良好.
- 没有观察到血清激素综合征的风险增加,特别是在psilocybin.
- 一些研究表明,心理健康症状有所改善;主观影响各不相同.
结论:
- 在迷幻药治疗期间保持AD似乎是安全的,并提高了患者的访问.
- 避免停用AD可以减轻精神疾病的风险和潜在恶化.
- 需要进一步的随机对照试验来确认研究结果并解决知识差距.
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