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* * 因耐受性差换用抗精神病药物的推荐 Maudsley处方指南第10版 换药原因 首选药物 备选药物 急性EPS 阿立哌唑 奥氮平 喹硫平 氯氮平 利培酮(6mg/d) 齐拉西酮 1. Stanniland C, et al. Tolerability of atypical antipsychotics. Drug Saf 2000; 22:195–214. 2. Tarsy D. et al. Effects of newer antipsychotics on extrapyramidal function. CNS Drugs 2002; 16:23–45. 3. Caroff SN ,et al. Movement disorders associated with atypical antipsychotic drugs. J Clin Psychiatry 2002;63 Suppl 4:12–19. 4. Lemmens P, et al. A combined analysis of double-blind studies with risperidone vs. placebo and other antipsychotic agents: factors associated with extrapyramidal symptoms. Acta Psychiatr Scand 1999; 99:160–170. 5. Taylor DM. Aripiprazole: a review of its pharmacology and clinical use. Int J Clin Pract 2003; 57:49–54.. 耐受性差的换药推荐 换药原因 首选药物 备选药物 血脂异常 阿立哌唑 氨磺必利 齐拉西酮 1. Rettenbacher MA ,et al. Early changes of plasma lipids during treatment with atypical antipsychotics. Int Clin Psychopharmacol 2006; 21:369–372. 2. Ball MP, et al. Clozapine-induced hyperlipidemia resolved after switch to aripiprazole therapy. Ann Pharmacother 2005; 39:1570–1572. 3. Chrzanowski WK, et al. Effectiveness of long-term aripiprazole therapy in patients with acutely relapsing or chronic, stable schizophrenia: a 52-week, open-label comparison with olanzapine. Psychopharmacology 2006; 189:259–266. 4. De Hert M, et al. A case series: evaluation of the metabolic safety of aripiprazole. Schizophr Bull 2007; 33:823–830.. 耐受性差的换药推荐 换药原因 首选药物 备选药物 糖耐量受损 阿立哌唑 氨磺必利 齐拉西酮 利培酮 1. Haddad PM. Antipsychotics and diabetes: review of non-prospective data. Br J Psychiatry Suppl 2004; 47:S80–S86. 2. Berry S, et al. Improvement of insulin indices after switch from olanzapine to risperidone. Eur Neuropsychopharmacol 2002; 12:316. 3. Gianfrancesco FD, et al. Differential effects of risperidone, olanzapine, clozapine, and conventional antipsychotics on type 2 diabetes: findings from a large health plan database. J Clin Psychiatry 2002; 63:920–930. 4. Mir S, et al. Atypical antipsychotics and hyperg
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