Game over – children caught in the net

MUDr. Bc. Daniela Zmeškalová, Ph.D.

Psychiatr. praxi 2019; 20(S1e)  

Digital technologies have become a regular part of everyday life and children meet them already during infancy. Excessive use of smartphones, tablets or computers has negative consequences, including the risk of pathological development and causing mental health problems (gaming disorder is already described in ICD-11). There is no question whether children should or shouldn’t use modern technology, but when, and how to set the rules of use and how to be a good guide. Pediatricians are expected to know when and how to talk to families and children in order to reduce the potential risks of over-exploiting technology and to prevent the development...

L-tryptofan – a nutraceutical with impact on mental health

MUDr. Dana Kamarádová, Ph.D.1, prof. MUDr. Vilím Šimánek, DrSc.2

Psychiatr. praxi 2019; 20(S1e)  

L-tryptophan is an essential amino acid of the human diet. Apart from its incorporation into body proteins, L-tryptophan is the precursor ofserotonin and other neurotransmitters in the brain and gastro intestinal tract. This brief overview covers the role of L-tryptophan in brain serotoninsynthesis as an important factor in mood, cognition and social behaviour.

Preparation of hard gelatin capsules with decreasing diazepam content for treatment of benzodiazepines and Z-hypnotics addiction

PharmDr. Aleš Franc, Ph.D., Mgr. Jan Elbl, doc. Mgr. Jan Muselík, Ph.D., doc. PharmDr. Kateřina Kubová, Ph.D.,, doc. PharmDr. Mgr. David Vetchý, Ph.D.

Psychiatr. praxi 2019; 20(S1e)  

At present, millions of people in the world are addicted to benzodiazepines. The form of both somatic and psychic addiction does not permit immediate discontinuation of these drugs. One of methods, which has been used successfully for long time, is to switch the patients to diazepam. Diazepam has long biological half-life and after stabilization, gradual dose reduction until placebo dose is reached can follow. Hard gelatinous capsules seem to be the most suitable dosage forms for this process because they may contain also other drugs alleviating abstinence symptoms – antipsychotics, antidepressants, or beta blockers. Because of low doses of these...

Dextromethorphan – psychotropic drug in hands of children and adolescents

MUDr. Gabriela Rábová, MUDr. Jiří Podlipný, Ph.D., PharmDr. Eliška Lacinová, MUDr. Lucia Kovářová, doc. MUDr. Jan Vevera, Ph.D.

Psychiatr. praxi 2019; 20(S1e)  

Dextromethorphan (DXM) is a substance with increasing potential of abuse. Ordinary antitusic medicaments containing DXM used to be available without medical prescription in Czech Republic. Therefore it was easy to obtain and abuse. Since 15th August 2018, the availability of monocomponent medicaments containing DXM in solid form changed due to a regulatory measure, which consists in the „only on medical prescription“ mode. It means that it cannot be sold over-the-counter anymore. We registered 5 cases of DXM abuse in pediatric patients hospitalized in Department of Psychiatry, University Hospital in Pilsen during the first 6 months of 2017....

Autocastration as a severe manifestation of schizofrenia

MUDr. Jakub Baron, MUDr. Rostislav Kuldan, MUDr. Jana Bocková

Psychiatr. praxi 2019; 20(S1e)  

The authors present a case report of a patient who underwent a self-orchiectomy of his left testicle at home with the need of a subsequent surgicalrevision. Afterwards the authors describe the procedure of hospitalization with a following transfer to a psychiatric department.

E-verze 1/19

Psychiatr. praxi 2019; 20(S1e)