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2015长城会:老年冠心病患者合并焦虑抑郁的用药原则

2015-10-30 李妍 整理 中国医学论坛报

10月29日下午,双心医学会场一如既往吸引了众多参会者。来自北京大学第六医院的王育梅医生介绍了老年冠心病患者合并焦虑抑郁的识别与治疗。 老年患者药物治疗首先考虑的是安全性和药物不良反应,其次才是疗效。 老年冠心病患者合并焦虑抑郁的用药原则: 小剂量开始,尽量单一治疗,以成人剂量的半量缓慢加量,并密切观察对药物的耐受程度; 尽可能避免使用具有镇静或抗胆碱作用的药物,避免引起思睡、意识模糊

10月29日下午,双心医学会场一如既往吸引了众多参会者。来自北京大学第六医院的王育梅医生介绍了老年冠心病患者合并焦虑抑郁的识别与治疗。

老年患者药物治疗首先考虑的是安全性和药物不良反应,其次才是疗效。

老年冠心病患者合并焦虑抑郁的用药原则:

小剂量开始,尽量单一治疗,以成人剂量的半量缓慢加量,并密切观察对药物的耐受程度;

尽可能避免使用具有镇静或抗胆碱作用的药物,避免引起思睡、意识模糊及感知紊乱等,注意与心血管药物的相互作用;

注意药物不良反应常加重老年精神障碍的症状;

只伴有焦虑症状、不伴有抑郁症状的患者,可使用抗焦虑药物治疗。

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