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신체질환을 앓고 있는 정신과환자에서의 정신약물의 사용

Use of Psychotropic in Psychiatric Patient with Physical Disease

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참고문헌

키워드

주제분류정신과학

초록

상기와 같이 임상에서 흔히 접할 수 있는 심혈관질환, 간 질환 및 신장질환 등의 신제질환을 가진 환자에서 의 정신약물의 사용에 대하여 고찰하였다. 이 신체질환들을 앓고 있는 환자에서의 정신약물의 사용은 대사 및 배설작용의 변화에 따른 약물 및 대사산물의 혈중농도 변화와 반감기의 변화, 그리고 약물 자체의 부작용에의 민감성 등의 이유로 인하여 많은 주의를 요한다. 이에 본 논문은 상기 신체질환을 가진 환자들에서 정신약물, 특히 우리나라에서 많이 사용하고 있거나 새로운 관심을 가져야 하는 약물을 중심으로 고찰하였다. 이러한 신체질환과 정신약물의 사용에서의 주의해야 할 문제점을 잘 알고 임상적용에서 적절히 이용하여 환자 치료에 있어서 더욱 나은 진료 및 치료의 귀결을 이룰 수 있도록 하여야 할 것이다.

Abstract

The author reviewed the considerable factors of using psychotropic agents(antipsychotics, antidepressants, antianxiety and hypnotics, mood stabilizers, and other psychotropics) in patients with physical disease, especially cardiovascular, hepatic, and renal disease. Because of the change of blood level and half-life, and increased sensitivity of adverse effect in patients with physical disease, psychiatrists have to use psychotropics more carefully. It will be more helpful to treat the patient with physical disease.

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