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Yıl:2017; Cilt: 3; Sayı: 1>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2017;3(1):16-22
Çocuk ve Ergende Antihiperkinetik ve Dikkat Artırıcı İlaç Kullanımı
G Özyurt, ES Ercan
Ege Üniversitesi, İzmir
Dikkat Eksikliği Hiperaktivite Bozukluğuna (DEHB) yönelik araştırmalar ile DEHB'nin nörobiyolojik bir hastalık olduğu ortaya koyulmuştur ve ilaçların en önemli tedavi yöntemi olduğu konusunda görüş birliği vardır. DEHB tedavisinde ilk sıra ilaçlar olarak, birçok çalışma tarafından desteklenen metilfenidat, dekstroamfetamin gibi santral sinir sistemi için uyarıcı ilaçlar ve atomoksetin tedavide kullanılmaktadır. Atipik antipsikotikler, antidepresanlar, alfa-2 agonistler de tek başına veya tedaviye ek olarak kullanılabilir. Bu yazıda çocuk ve ergende antihiperkinetik ve dikkat artırıcı ilaçların etki mekanizması, yan etkileri, psikiyatrik komorbid durumlarda kullanımları hakkında bilgi verilmesi amaçlanmıştır.
The Use of Antihyperkinetic and Attention Increasing Drugs in Children and Adolescents
Studies about Attention Deficit Hyperactivity Disorder (ADHD) showed that ADHD is a neurobiologic disorder and there is a consensus with regard to drugs are the most important treatment method. First choice of drugs in the treatment of ADHD are atomoxetine and the central nervous system stimulants like methylphenidate, dextroamphetamine and these drugs' positive effects are reported in a lot of studies. Atypical antipsychotics, antidepressants, alpha 2 agonists can be used as single treatment or combined treatment. It is aimed to inform about the affecting mechanisms, adverse effects of antihyperkinetic and attention increasing drugs and their usage in combined psychiatric situations in children and adolescents.

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