抗胆碱能植物滥用与精神分裂症一例报告

Pedro Frias Gonçalves, Liliana Castro, J. Mota
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引用次数: 0

摘要

抗胆碱能药物滥用在精神分裂症患者中很常见。在美国和东欧,娱乐性地使用抗胆碱能植物,因为它们具有欣快感和致幻剂的特性,这正在引起人们的关注,但在葡萄牙却很少见。抗胆碱能滥用对治疗双重病理患者的精神病学家提出了挑战,因为它具有成瘾的潜力。在处理抗精神病药物及其副作用时,必须考虑到抗胆碱能药物滥用的可能性。我们报告了一例精神分裂症患者,并滥用抗胆碱能植物,接受双倍藤治疗锥体外系症状后。随后,我们讨论了抗胆碱能作用和潜在的成瘾,并探讨了在这种情况下预防和治疗药物滥用的方法。
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Anticholinergic Plant Misuse and Schizophrenia: Regarding a Case Report
Anticholinergic medication abuse is common in patients with schizophrenia. The recreational use of anticholinergic plants for their euphoria inducing and hallucinogenic properties is a rising concern in America and Eastern Europe, but rare in Portugal. Anticholinergic misuse poses a challenge to Psychiatrists treating patients with dual pathology, for its addictive potential. In managing antipsychotic medication and its side effects in this population one must have in mind the potential for abuse of anticholinergics. We present a case report of a patient with schizophrenia and abuse of anticholinergic plants, after receiving biperiden to treat extrapyramidal symptoms. Later we discuss anticholinergic effects and potential for addiction and explore ways to prevent and treat drug misuse in this context.
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