Dergi Ara >>
Yıl:2001; Cilt: 2; Sayı: 3>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2001;2(3):183-188
Şizofrenide alternatif tedavi stratejileri
Ş Pırıldar
Ege Üniv. Tıp Fak. Psikiyatri ABD, İZMİR
Şizofreni, klinik belirtileri hastadan hastaya farklı olduğu kadar, aynı hastada bile farklı hastalık dönemlerinde
değişebilen heterojen bir bozukluktur. Tedavide de farklı terapötik mekanizmalara sahip ilaçların birlikte
kullanımı, etkinliği artırmak ya da hastalığın farklı boyutlarına ait belirtileri tedavi etmek amacıyla sıklıkla
uygulanır. Bu durum uzun süreler yararlı bir etkisi olduğu tam olarak bilinemeyen ilaçların birlikte kullanımı
tehlikesini de beraberinde getirmektedir. Psikotrop ilaçların birlikte kullanımında en önemli nokta, hastalığın
hangi belirtilerinin hedeflenerek ek tedavinin başlandığı ve belirtilerin bu tedaviye yanıtının izlenmesi, yan
etkilerin de artabileceği riskinin unutulmamasıdır.
Adjunctive treatment strategies in schizophrenia
Schizophrenia is a kind of heteregenous disorder in which clinical signs and symptoms vary among different
patients even in different episodes of a patient. Drugs with different pharmacological mechanisms can usually be
used together to be more effective and for the treatment of different dimensions of the disease. This brings the
risk of any complication that would result from combining the drugs with unexpected effect. The most important
point in combining the psychothrop agents is to determine the signs of the disease that is targetted while the
adjuvant therapy is started and to follow the response, and not to forget the possibility of a side-effect that is
getting higher.

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