Psychotropic medications and metabolic side effects in common genetic syndromes with intellectual disability-case report

Charanya Kaliamoorthy, M. P. Mukherjee, M. Das, Nivedhitha Selvakumar, P. Kandasamy
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Abstract

Multi-systemic genetic disorders are strongly associated with psychiatric illness and may require psychotropics for their management. The choice of psychotropics is primarily determined by medical comorbidities and adverse effects.  A careful assessment of behavioural phenotype and metabolic monitoring for children on psychotropics should be followed to avoid adverse consequences.  Hence, the need for monitoring of metabolic syndrome during routine clinical evaluation and the use of aripiprazole which demonstrated a good response with minimal adverse effects are highlighted with a description of cases of children with intellectual disability and neurodevelopmental genetic syndromes like Down Syndrome and Prader-Willi syndrome.
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常见遗传综合征伴智力残疾患者的精神药物和代谢副作用病例报告
多系统遗传疾病与精神疾病密切相关,可能需要精神药物治疗。精神药物的选择主要取决于医疗合并症和不良反应。应对服用精神药物的儿童进行仔细的行为表型评估和代谢监测,以避免不良后果。因此,在常规临床评估中监测代谢综合征的必要性和使用阿立哌唑的必要性得到了强调,并对智力残疾儿童和神经发育遗传综合征(如唐氏综合征和普瑞德-威利综合征)的病例进行了描述。阿立哌唑显示出良好的反应和最小的副作用。
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审稿时长
6 weeks
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