米氮平治疗抑郁障碍的临床使用Consensus of mirtazapine in treatment of depression
司天梅;方贻儒;李涛;许秀峰;郝伟;徐一峰;贾福军;李惠春;杨甫德;刘铁榜;梅其一;宁玉萍;施慎逊;王高华;王向群;许毅;陆峥;张宁;于欣;赵靖平;李凌江;江开达;
摘要(Abstract):
米氮平是一种去甲肾上腺素能和特异性5-羟色胺能抗抑郁药。一系列上市前及上市后的临床研究结果显示米氮平能有效治疗各种严重程度的抑郁障碍,耐受性良好,对伴有焦虑、激越以及失眠的抑郁障碍患者可能更有优势;长期维持治疗可降低抑郁障碍的复发风险;作为增效药物联合治疗可有效治疗对其他抗抑郁药单药治疗效果不佳的患者,与其他抗抑郁药相比,失眠、焦虑和性功能不良反应的发生风险相对较低。最近新上市了口崩片剂型,为适合该药治疗的患者,提供了另一种服药途径选择。
关键词(KeyWords): 米氮平;作用机制;抑郁症;临床疗效
基金项目(Foundation):
作者(Authors): 司天梅;方贻儒;李涛;许秀峰;郝伟;徐一峰;贾福军;李惠春;杨甫德;刘铁榜;梅其一;宁玉萍;施慎逊;王高华;王向群;许毅;陆峥;张宁;于欣;赵靖平;李凌江;江开达;
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