Pharmacotherapy of late life mood disorders.

N Herrmann, K E Bremner, C A Naranjo
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Abstract

The pharmacotherapy of elderly patients with affective illnesses presents clinicians with a number of challenges. Changes associated with normal aging, as well as concomitant medical illnesses and their treatment, can affect the pharmacokinetics and pharmacodynamics of psychotropic drugs. Furthermore, the relative paucity of controlled trials with elderly patients necessitates a reliance on studies done on younger populations, which may be inappropriate. This review attempts to highlight how knowledge of the effects of aging on pharmacokinetics and pharmacodynamics can help clinicians optimize therapy for their older patients with affective disorders.

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晚期情绪障碍的药物治疗。
老年情感性疾病患者的药物治疗给临床医生提出了许多挑战。与正常衰老相关的变化,以及伴随的医学疾病及其治疗,可以影响精神药物的药代动力学和药效学。此外,老年患者的对照试验相对缺乏,需要依赖对年轻人群进行的研究,这可能是不合适的。这篇综述试图强调衰老对药代动力学和药效学影响的知识如何帮助临床医生优化老年情感障碍患者的治疗。
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