Dergi Ara >>
Yıl:1999; Cilt: 4; Sayı: 3>> Özet
Ege Psikiyatri Sürekli Yayınları; 1999;4(3):359-368
Demans: Farmakolojik Tedavi
A Soykan, H Kumbasar
Demans, davranış bozuklukları, bilişsel işlevlerde zayıflama ve kişilik değişiklikleriyle kendini gösteren kompleks bir sendromdur. Bilişsel bozukluklar demansın temel semptomları olmasına rağmen davranışsal, emosyonel ve psikotik semptomlara da sık rastlanılır. Kolinesteraz inhibıtörleri Alzheimer tip demansın bilişsel semptomlarında endikedir. Demans hastalarında rastlanan depresyonun tedavisinde ise antidepresanlar kullanılır. Antipsikotikler, özellikle risperidon ve haloperidol, bu olgularda saptanan ajitasyon ve psikotik semptomların tedavisinde ilk seçeneği oluştururlar. Bu semptomların tedavisinde benzodiyazepinler ve diğer ajanlar da mutlaka gözönünde tutulmalıdır.

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