Pharmacological Treatment of Panic Disorder
Pharmacological Treatment of Panic Disorder
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DOI：
10.1159/000351953
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发表时间：
2013-01-01
期刊：
影响因子：
--
通讯作者：
Zwanzger, Peter
中科院分区：
文献类型：
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作者：
Bandelow, Borwin;Baldwin, David S.;Zwanzger, Peter
一个全面的数据库已经开发出来，可以为治疗恐慌症患者提供精确的建议。选择性5-羟色胺再摄取抑制剂和降钙素-去甲肾上腺素再摄取抑制剂是惊恐障碍的标准治疗方法。三环类抗抑郁药与现代抗抑郁药一样有效，但耐受性较差。对于短期治疗和无反应病例，当患者没有依赖和耐受史时，可使用苯二氮卓类药物，如阿普唑仑。将药物治疗与认知行为疗法相结合是治疗惊恐障碍最成功的策略。本章还包括对孕妇或哺乳期妇女、儿童、青少年、老年患者和对标准治疗无反应的患者的治疗建议。版权所有（C）2013 S. Karger AG，巴塞尔
A comprehensive database has developed and precise recommendations can be provided for treating patients with panic disorder. Selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are standard treatments for panic disorder. Tricyclic antidepressants are as effective as modern antidepressants, but less well tolerated. For short-term treatment and in nonresponsive cases, benzodiazepines such as alprazolam may be used when the patient does not have a history of dependency and tolerance. Combining drug treatment with cognitive behaviour therapy is the most successful treatment strategy for panic disorder. This chapter also includes treatment recommendations for pregnant or lactating women, children, adolescents, elderly patients, and patients who are non-responsive to standard treatments. Copyright (C) 2013 S. Karger AG, Basel