Dergi Ara >>
Yıl:2010; Cilt: 11; Sayı: 3>> Özet
Anadolu Psikiyatri Dergisi; 2010;11(3):0-0
Psikiyatride Çoklu İlaç Kullanma
O Doğan
Cumhuriyet Üniv. Tıp Fakültesi, Sivas
Son yıllarda psikiyatri uygulamalarında çoklu ilaç önermenin yaygınlaştığı görülmektedir. Bu durum ilaçların etki düzeneklerinin ve psikiyatrik bozuklukların daha iyi anlaşılmasıyla ilgili olabilir; ilaçların reseptör düzeyindeki etkileri göz önüne alınarak bir hastaya birden çok ilaç önerilebilir. Bu gerekçeler hastaya zarar vermemek koşuluyla bilimsel olarak kabul edilebilir. Öte yandan saf bir psikiyatrik bozukluk görülme olasılığı düşüktür, komordite oranı yüksektir. Ne var ki, kimi zaman bu gerekçeler dikkate alınmadan çoklu ilaç kullanımı görülebilmektedir. Bu da, hastalarda daha çok yan etki, ilaç tedavisine daha düşük uyum, daha yüksek oranda relaps, daha çok ekono-mik gider demektir. Bu nedenle hastalara ilaç önerirken en uygun ilaç, en az sayıda ilaç önerilmesi gereklidir.
The Multiple Drugs Use in Psychiatry
In recent [year]s, it has been seen that is common to prescribe the multiple drugs in psychiatric practice. This condition can be related to the better understanding of the mechanisms of psychotrop drugs and recognizing psychiatric disorders. It could be prescribed to a patient drug more than one, but it must be take into consideration the effects in reseptor levels of psychotrop drugs. These reasons could be accepted from the scientific perspective on condition that except give harm to the patient. From the other hand, the probability of pure psychiatric disorder is low, the comorbidity rate of those is high. At the sometimes, it could be seen the multiple drug use from these reasons not take into consideration. This application means more side effects of psychotrop drugs, low adherence to drug treatment, high level rate of relapse, more expenditure. From these reasons, the most favorable and in a few number drugs must be prescribed to the patients.

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