[Treatment of delirium with psychotropic drugs-update 2026].

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-10-01 Epub Date: 2026-09-14 DOI:10.1007/s00391-026-02655-1

Walter Hewer, Daniel Kopf

引用次数: 0

Abstract

Causal and general therapeutic measures, as well as non-pharmacological interventions are key elements in the prevention and treatment of non-substance-induced delirium. However, if certain target symptoms persist, such as delusions, hallucinations or marked agitation, there is an indication for psychopharmacotherapy, usually with antipsychotics. This narrative review provides an overview of the current state of knowledge on this topic, with particular reference to the recently published Association of the Scientific Medical Societies in Germany (AWMF) guideline, "Delirium in Older Adults". The guidline focuses on how to achieve the best possible balance between benefits and risks when using high-risk medication in vulnerable patients.

查看原文本刊更多论文

[精神药物治疗谵妄-更新2026]。

病因和一般治疗措施，以及非药物干预是预防和治疗非物质性谵妄的关键因素。然而，如果某些目标症状持续存在，如妄想、幻觉或明显的躁动，则需要精神药物治疗，通常使用抗精神病药物。这篇叙述性综述概述了这一主题的现状，特别参考了德国科学医学学会协会（AWMF）最近发表的指南“老年人谵妄”。该指南侧重于如何在弱势患者使用高风险药物时实现利益与风险之间的最佳平衡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Zeitschrift Fur Gerontologie Und Geriatrie 医学-老年医学

CiteScore

2.00

自引率

16.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.