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< クエチアピンを使いこなす：石郷岡 | メイン | わびすけ：2月26日 >
2010.02.22 23:51 |  仕事 / 職場  |  映画 / 音楽 / 読書  |  その他（医療関連）  |  はま　あるき  | 推薦数 : 0

オランザピン急性期の報告：上島国利編集

オランザピン急性期の報告

－ひとりひとりの治療ゴールへ－

上島国利編集

 

   星和書店：2004年：2800円＋税 

　注目に値する文章を少し以下に箇条書きしました。

◎１　精神運動性興奮が著しく鎮静が必要な場合は、鎮静を目的としてベンゾジアゼピン系薬剤（ユーパンが第一選択）を併用する。◎２　半減期が28.5時間と長く、1日1回の投与が可能。

◎３　糖尿病の合併または既往のある患者さんへの投与は禁忌。

◎４　初診時精神運動性興奮が著しい場合、ジアゼパムの静注など施行すれば、インフォームドコンセントを得られるまで、落ち着くことも少なくない。

◎５　ベンゾジアゼピンは急性期の標的症状にしぼり、長期の使用は避ける。

◎６　バルブロ酸は長期効果は期待できないので、急性期後は漸減中止が望ましい。

◎７　ＣＢＺ（テグレトール）やＬｉ（リーマス）を使う前に、ＶＰＡやベンゾジアゼピン（ランドセン）をまず使うべき。

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