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Polifarmacia en el tratamiento psiquiátrico. Patrones de uso de los fármacos psicotropos en clínicas psiquiátricas austríacas

Published online by Cambridge University Press:  12 May 2020

H. Rittmannsberger ,
U. Meise ,
K. Schauflinger ,
E. Horvarth ,
H. Donat  and
H. Hinterhuber
H. Rittmannsberger
Affiliation:
Hospital Mental Wagner-Jauregg Upper Austrian Provincial, Wagner-Jauregg-Weg 15 A-4020, Linz
U. Meise
Affiliation:
Hospital Clínico Universitario, Innsbruck, Austria
K. Schauflinger
Affiliation:
Hospital Mental Wagner-Jauregg Upper Austrian Provincial, Wagner-Jauregg-Weg 15 A-4020, Linz
E. Horvarth
Affiliation:
Departamento de Psiquiatría, Hospital Kaiser Franz Josef, Vienna
H. Donat
Affiliation:
Departamento de Psiquiatría, Hospital Kaiser Franz Josef, Vienna
H. Hinterhuber
Affiliation:
Hospital Clínico Universitario, Innsbruck, Austria
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Resumen

Hay grandes variaciones en el modo en que los fármacos psicotropos se prescriben. La mayoría de los expertos están a favor de la monoterapia psicofarmacológica, pero se sabe poco sobre el alcance de su práctica real. Se llevó a cabo un estudio de la medicación psicofarmacológica de todos los pacientes en tratamiento en tres clínicas psiquiátricas austríacas de diverso tipo en dos días distintos. Se seleccionó para el estudio una clínica universitaria psiquiátrica, el departamento psiquiátrico de un hospital general y un hospital mental regional. Se estableció que sólo de 8 a 22% de los pacientes recibían monoterapia psicofarmacológica y que les daban de 2,2 a 3,3 psicotropos como media. De 5 a 22% de los pacientes recibían cinco o más agentes psicotropos. Los resultados se presentan con más detalle en relación con los diagnósticos de esquizofrenia y depresión. La presencia poco común de la monoterapia se podría deber a regímenes de tratamiento erróneos en algunos casos, pero mucho más a una tendencia general en psiquiatría que fomenta el uso polifarmacológico.

Keywords

fármacos psicotroposmonoterapiapolifarmaciapacientes psiquiátricos hospitalizados
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 8 , November 1999 , pp. 487 - 494
Copyright
Copyright © European Psychiatric Association 1999

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