Antidiabéticos orales y trastornos depresivos: ¿riesgo o protección?

Q4 Medicine Psiquiatria Biologica Pub Date : 2024-01-01 DOI:10.1016/j.psiq.2024.100441
Maria Raad-Sarabia , Maria Cardona-Blanco , Carmen Mendoza-Paternina , José Correa-Guerrero , Jorge Rico-Fontalvo , Rodrigo Daza-Arnedo , Zulay Mondol-Almeida , Jhonny Llinas-Rincon , Liseth Sierra-Torres , Juan Marrugo-Yunda
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Abstract

Introduction

Diabetes mellitus and mood disorders are two entities that are intertwined with common pathophysiological mechanisms. Oral hypoglycemic agents are a fundamental pillar in obtaining adequate glucose control in diabetic individuals and, recently, the high prevalence of these two pathologies in the same patient have led clinical studies to focus on analyzing the effect of oral hypoglycemic agents in diabetics. patients with type 2 diabetes mellitus and depressive disorder.

Objective

To carry out a review of the available literature on hypoglycemic medication in the context of patients with diabetes mellitus and depressive disorder.

Conclusions

Although oral antidiabetics have been shown to have an antidepressant effect in certain experimental models, in clinical practice the evidence is scarce, but the lower risk of depression with certain antidiabetics is particularly noteworthy, leaving open the possibilities of future studies with the adequate nature that allows clarifying the effect of oral hypoglycemic agents in the population with diabetes mellitus and depressive disorder.

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口服抗糖尿病药与抑郁障碍:风险还是保护?
导言糖尿病和情绪障碍是两个相互交织的实体,具有共同的病理生理机制。口服降糖药是糖尿病患者获得适当血糖控制的基本支柱,最近,这两种病症在同一患者中的高发率促使临床研究重点分析口服降糖药对糖尿病患者的影响。 目的对现有文献中有关糖尿病合并抑郁症患者的降糖药物进行综述。结论虽然口服降糖药在某些实验模型中已被证明具有抗抑郁作用,但在临床实践中,这方面的证据并不多,尤其值得注意的是,某些降糖药的抑郁风险较低,因此今后有可能开展适当的研究,以明确口服降糖药对糖尿病和抑郁障碍患者的影响。
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来源期刊
Psiquiatria Biologica
Psiquiatria Biologica Medicine-Psychiatry and Mental Health
CiteScore
0.40
自引率
0.00%
发文量
13
期刊介绍: Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.
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