Arypiprazol, olanzapina i kwetiapina w leczeniu schizofrenii i choroby afektywnej dwubiegunowej Artykuł przeglądowy

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Marcin Siwek
Anna Julia Krupa

Abstrakt

Podstawę leczenia schizofrenii (SZ) i choroby afektywnej dwubiegunowej (ChAD), tak w okresie zaostrzeń choroby podstawowej, jak i w długoterminowej terapii zapobiegającej nawrotom, stanowi farmakoterapia. Regularne, zgodne z zaleceniami, przyjmowanie leków obniża ryzyko kolejnych zaostrzeń SZ i ChAD oraz wiążących się z nimi pobytów w szpitalu, rozwoju opornych na leczenie objawów resztkowych i ograniczenia funkcjonowania. Do głównych przyczyn niestosowania się do zaleceń lekarskich należy brak skuteczności lub tolerancji terapii. Dlatego w momencie wyboru leku przeciwpsychotycznego (LPP) kluczowe jest dążenie do indywidualizacji leczenia, tak aby maksymalizować jego efektywność i minimalizować ryzyko wystąpienia tych działań niepożądanych, których chory nie jest w stanie zaakceptować. Konieczne jest też uwzględnienie profilu bezpieczeństwa danego LPP, zwłaszcza wśród chorych obciążonych współchorobowością. Cel pracy stanowi zwięzłe omówienie i porównanie danych dotyczących skuteczności, tolerancji i bezpieczeństwa stosowania arypiprazolu, olanzapiny i kwetiapiny w leczeniu pacjentów z SZ i ChAD.

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Bibliografia

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