抑郁症患者疲劳的处理。

Essential psychopharmacology Pub Date : 2005-01-01
Humberto Marin, Matthew A Menza
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引用次数: 0

摘要

在接受新型抗抑郁药治疗的患者中,有四分之三的人仍然抱怨疲劳。疲劳是抑郁症最常见和最令人不安的残余症状之一。大脑某些区域血清素活动的增加会导致疲劳。它可以被多巴胺能剂抵消,有趣的是,多巴胺能剂通过锻炼而增强。可用于解决残余疲劳的具体步骤包括基于用于解决躯体形式障碍的认知干预;分级有氧运动;减少剂量或停止使用诱发疲劳的抗抑郁药;以及诸如多巴胺能抗抑郁药(安非他酮)、兴奋剂、甲状腺制剂和莫达非尼等药物的处方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The management of fatigue in depressed patients.

Three quarters of patients who respond to treatment with the newer antidepressants still complain of fatigue. Fatigue is one of the most common and disturbing residual symptoms of depression. Increased serotonin activity in certain areas of the brain contributes to fatigue. It can be counteracted by dopaminergic agents which, interestingly, are enhanced by exercise. Specific steps that can be used to address residual fatigue include cognitive interventions based on those used to address somatoform disorders; graded aerobic exercise; dose reduction or discontinuation of fatigue-inducing antidepressants; and the prescription of such medications as dopaminergic antidepressants (bupropion), stimulants, thyroid preparations, and modafinil.

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