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首页> 外文期刊>The journal of clinical psychiatry >A different mechanism to understand activation/sedation side effects of ziprasidone.
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A different mechanism to understand activation/sedation side effects of ziprasidone.

机译:了解齐拉西酮的激活/镇静副作用的另一种机制。

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Sir: The supplement article by Stahl and Shayegan on the psychophannacology of ziprasidone was a nice review and is still the standard, but I would like to make exception to one well-accepted mechanism. As I review my clinical experience, I see that patients who were started on 40 mg b.i.d. of ziprasidone and then went on to receive 60 mg b.i.d., as suggested by Pfizer on the basis of the article by Stahl and Shayegan, often complained of restlessness and stopped the drug. This is contrary to the explanation of the article indicating that getting to D_2 blockade balances out the putative serotonin-2C (5-HT_(2C)) effect, which is the basis of the side effect.
机译:主席先生:Stahl和Shayegan撰写的有关齐拉西酮的精神病学的补充文章是一个不错的评论,仍然是标准,但是我想对一个公认的机制作例外解释。当我回顾我的临床经验时,我发现开始以40 mg b.i.d.根据辉瑞公司在Stahl和Shayegan的文章的基础上建议,服用10%的齐拉西酮,然后继续接受60 mg b.i.d.的治疗,经常抱怨烦躁不安并停止了药物治疗。这与该文章的说明相反,该说明指出,达到D_2阻滞可以平衡假定的血清素2C(5-HT_(2C))效应,而后者是副作用的基础。

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