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Risperidona en el tratamiento de las psicosis en el anciano: una serie de informes clínicos

Published online by Cambridge University Press:  12 May 2020

R. Bullock  and
S. Libretto
R. Bullock
Affiliation:
Centro de Investigación de Kingshill, Hospital Victoria, Okus Road, Swindon, Wiltshire SN14JU, Reino Unido;
S. Libretto
Affiliation:
P0 Box 79, Janssen-Cilag Ltd., Saunderton, High Wycombe, Buckinghamshire HP14 4HJ, Reino Unido
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Resumen

La risperidona es uno de los agentes antipsicóticos atípicos más recientes, que combina un potente antagonismo hacia los receptores para la serotonina y la dopamina. Se muestra eficaz contra los síntomas positivos y negativos de las psicosis esquizofrénicas y otros trastornos psicóticos, y tiene una baja propensión a causar efectos secundarios extrapiramidales. El propósito de estos informes clínicos en pacientes ancianos es proporcionar el beneficio de la experiencia personal con la risperidona al conjunto de las publicaciones y demostrar los tipos de pacientes que se pueden beneficiar del tratamiento. Estos casos se compilaron retrospectivamente a partir de los datos recogidos en la derivación y durante las citas hospitalarias habituales. Esta serie cubre cuatro áreas principales de preocupación en el tratamiento de los ancianos: las dosis bajas de mantenimiento que minimicen la probabilidad de acontecimientos adversos; el tratamiento con éxito de pacientes no controlados antes y que experimentan efectos secundarios con otros antipsicóticos; la posibilidad de tratamiento intermitente en lugar de continuo, y los beneficios para los pacientes, los cuidadores y los servicios sanitarios. En dosis bajas, la risperidona es un tratamiento efectivo y bien tolerado para las psicosis en los pacientes ancianos que mejora la calidad de vida tanto para los pacientes como para sus cuidadores.

Keywords

antipsicotico atipicoancianosgeriátricopsicosisrisperidona
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 9 , Issue 5 , June 2002 , pp. 305 - 313
Copyright
Copyright © European Psychiatric Association 2002

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