Psychiatr. pro Praxi, 2003; 6: 268-272

Milnacipran u depresivních nemocných starších 60 let

doc. MUDr. Vladimír Pidrman Ph.D, MUDr. Klára Látalová, prof. MUDr. Jaroslav Bouček CSc
Psychiatrická klinika FN a LF UP, Olomouc

Published: December 31, 2003  Show citation

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Pidrman V, Látalová K, Bouček J. Milnacipran u depresivních nemocných starších 60 let. Psychiatr. praxi. 2003;4(6):268-272.

Autoři uvádějí stručnou problematiku a specifitu deprese vyššího věku. Na základě literárních údajů i vlastních zkušeností uvádějí předpokládané výhody milnacipranu, druhého SNRI, které je k dispozici, při léčbě depresivních seniorů. Zpracovány byly výsledky osmitýdenní léčby milnacipranem u 16 depresivních pacientů velmi vysokého věku (průměrný věk 69,5 let). Bylo konstatováno, že sledování dokončilo 12 nemocných, u nichž byl zaznamenán dobrý terapeutický účinek a dobrá snášenlivost léku. Celkem čtyři případy byly ze sledování vyřazeny, a to do konce druhého týdne. Závažné vedlejší účinky nebyly zaznamenány. Sledování potvrzuje, že milnacipran představuje účinnou a bezpečnou alternativu léčby deprese u seniorů.

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