关键词: Antidepressant medications clinical implications pharmacogenetics. side-effects treatment strategies

来  源:   DOI:10.2174/0115748863301630240417071353

Abstract:
Depression, a pervasive mental health disorder, affects millions worldwide, necessitating the widespread use of synthetic anti-depressant medications. While these pharmaceutical interventions have demonstrated efficacy in alleviating depressive symptoms, they are not without their associated side effects. This review provides a comprehensive overview of the side effects of synthetic anti-depressants, aiming to enhance the understanding of their clinical implications. Common side effects explored include gastrointestinal disturbances, sexual dysfunction, insomnia, weight gain, and cognitive impairments. Additionally, this review delves into less frequent but potentially severe adverse events, such as serotonin syndrome, hyponatremia, and cardiac complications associated with specific classes of synthetic anti-depressants. Moreover, the review examines the interplay between side effects and treatment adherence, emphasizing the importance of monitoring and managing these effects in clinical practice. It also discusses strategies to mitigate side effects, including dose adjustments, combination therapy, and alternative treatment approaches. In conclusion, this comprehensive review sheds light on the multifaceted landscape of side effects associated with synthetic anti-depressants. By providing clinicians with a nuanced understanding of these effects, it aims to facilitate informed decision-making, personalized treatment plans, and improved patient outcomes in managing depression.
摘要:
抑郁症,一种普遍的精神健康障碍,影响全世界数百万人,需要广泛使用合成抗抑郁药物。虽然这些药物干预已证明在缓解抑郁症状方面有效,它们并非没有相关的副作用。这篇综述全面概述了合成抗抑郁药的副作用,旨在增强对其临床意义的理解。探索的常见副作用包括胃肠道紊乱,性功能障碍,失眠,体重增加,和认知障碍。此外,这篇综述深入研究了频率较低但潜在严重的不良事件,比如5-羟色胺综合征,低钠血症,以及与特定类别的合成抗抑郁药相关的心脏并发症。此外,这篇综述研究了副作用和治疗依从性之间的相互作用,强调在临床实践中监测和管理这些影响的重要性。它还讨论了减轻副作用的策略,包括剂量调整,联合治疗,和替代治疗方法。总之,这篇全面的综述揭示了与合成抗抑郁药相关的副作用的多面性。通过为临床医生提供对这些影响的细致理解,它旨在促进知情决策,个性化的治疗计划,和改善患者治疗抑郁症的结果。
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