心療内科の立場から(各科領域における向精神薬の用い方 : その実際・位置づけ・問題点)(第25回日本心身医学会総会パネルディスカッション)

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We studied an applicatino of psychotropic drugs to the field of psychosomatic medicine including evaluation of the precautions and problems of these drugs.Actually, when psychosomatic diseases are treated in the field of psychosomatic medicine, self-control based on the re-integration of mind and body becomes an important aim of therapy; therefore, the treatment goal can never be achieved with only drug therapy.First, as to the precaution for the use of psychotropic drugs, the patients show either positive or negative attitudes towards drug therapy when they visit the department of psychosomatic medicine. Therefore, an appropriate identification of selection in these attitudes in an infallible point for the start of drug therapy for psychosomatic disease. This indicates that the treatment of psychosomatic disease has to be conducted on the individual basis.Secondly, the correct conduction of increase and alteration of drug is important in drug therapy.Thirdly, it is a problem of administration method. Recently, the determination of the concentratino of drug in blood has become possible and the administration of drug once a day is practiced in drugs with long blood half-life stage from the results of pharmacokinetic studies. Especially, antidepressants relieve side effects due to the administration at the time of going to bed, and have the advantages of the patient not forgetting to take them as compared to divided administrations.Fourthly, the problem of drug dependency is indicated. An attention should be paid to the increase of dose in drug therapy, and it is desirable to approach this problem by combining other psychological therapies in an attempt for gradual increase and eventual succession.Fifthly, we indicated some problems relating to the combined use of other drugs in anti-anxiety drugs and antidepressants.
日本心身医学会の論文
1985-06-01

心療内科の立場から(各科領域における向精神薬の用い方 : その実際・位置づけ・問題点)(第25回日本心身医学会総会パネルディスカッション)

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