New Hopes in Psychopharmacology

S. Kiraz, Meltem uroglu, P. Svrikaya, Ç. Hocaoğlu
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Abstract

Psychiatric disorders are very common all over the world, cause significant disability, and impose a heavy burden on both the individual and the society due to the loss of workforce. Unlike other diseases, phenomenological structure is still used in the diagnosis of mental disorders. The etiology of psychiatric disorders is not fully known. Because of this situation, treatment for the etiology cannot be performed. Treatment of psychiatric disorders differs from person to person, according to genetic characteristics. Existing treatment approaches take time to take effect, and resistance and unresponsiveness to treatment constitute serious problems in a significant portion of patients. Understanding the etiology and psychopathological processes of mental disorders is extremely important in terms of developing new treatment strategies. The number of studies aimed at understanding the neurobiology of psychiatric disorders is increasing rapidly. New pharmacological approaches in the treatment of obesity, delirium and sleep disorders, which have come to the fore in this field in recent years, have created excitement. Studies examining the effects of naltrexone/bupropion and phentermine/topiramate extended-release forms in the treatment of obesity are promising. Similarly, it is interesting to suggest that dexmedetomidine, a selective alpha 2 adrenergic agonist agent, may be a suitable option for the treatment of delirium. One of the promising psychopharmacological treatment approaches in recent years is the use of Orexin Receptor Antagonists (ORAs) in the treatment of insomnia. It has the potential to revolutionize the pharmacological treatment of insomnia. In this article, it is aimed to contribute to the literature by reviewing studies on current and new pharmacological treatment approaches in the treatment of obesity, delirium and insomnia.
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精神药理学的新希望
精神疾病在世界范围内非常普遍,造成严重的残疾,并由于劳动力的丧失而给个人和社会造成沉重的负担。与其他疾病不同,现象学结构仍被用于精神障碍的诊断。精神疾病的病因尚不完全清楚。由于这种情况,无法进行病因治疗。根据遗传特征,精神疾病的治疗因人而异。现有的治疗方法需要一段时间才能生效,对治疗的耐药性和无反应在很大一部分患者中构成严重问题。了解精神障碍的病因学和精神病理过程对于制定新的治疗策略至关重要。旨在了解精神疾病的神经生物学的研究数量正在迅速增加。近年来,治疗肥胖、谵妄和睡眠障碍的新药理学方法在这一领域脱颖而出,令人兴奋。研究纳曲酮/安非他酮和芬特明/托吡酯缓释形式治疗肥胖的效果是有希望的。同样有趣的是,右美托咪定,一种选择性α 2肾上腺素能激动剂,可能是治疗谵妄的合适选择。近年来,使用食欲素受体拮抗剂(ORAs)治疗失眠是一种很有前途的精神药理学治疗方法。它有可能彻底改变失眠的药物治疗。本文旨在通过对肥胖、谵妄和失眠的现有和新的药物治疗方法的研究进行综述,以贡献文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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