The Must Knows for Antipsychotic Use 服用抗精神病藥物的 ...
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The Must Knows for Antipsychotic Use 服用抗精神病藥物的注意事項(英文) · The types and actions of the medications · The must knows about taking the medication.
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TheMustKnowsforAntipsychoticUse服用抗精神病藥物的注意事項(英文)
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TheMustKnowsforAntipsychoticUse服用抗精神病藥物的注意事項(英文)
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TheMustKnowsforAntipsychoticUse服用抗精神病藥物的注意事項(英文)
2021/12/28
Thetypesandactionsofthemedications
Antipsychotics(oralformandinjectionform)
Stabilizemood,reducedisorganizedthought,andimprovesymptomsindelusion,hallucination,aggression,hyperactivity,hostility,insomnia,socialwithdrawal,orpoorreality.Therefore,patientscancarryonwiththeirfamily,sociallivesandoccupationallife.
Anti-sideeffectmedications(oralformandinjectionform)
Takingantipsychoticsmaysometimesaccompanywithsideeffects,suchasrigidity,tremor,orakathesia. Whentakingwithanti-sideeffectsmedication,theseuncomfortable symptomsmaybealleviated.
Hypnotics
Indicatedforthosewithinsomnia,fragmentedsleep,disruptedsleep,earlyawakenings.
Themustknowsabouttakingthemedication
Hypnoticsshouldbeusedbeforebedtime.Antipsychoticsandanti-sideeffectmedicationcanbetakenaccordingtoindividuallifestyleandoccupationalsituation.Ifpatientsforgettotakemedicationintherighttime,medicationcanbetakenwhenrecallingit.Butpayattentiontothetimeofsupplementationandthetimethatthemedicineshouldbetaken,notmorethantwohours;Ifyouhavedifficultytakingmedicationaccordingtodoctors’advices,pleasefeelfreetodiscusswithyourdoctors.
Itisnotrecommendedtotakemedicationfromtwodifferentpsychiatricmedicalunitsatthesametimeduetotheriskofdrugoverdoseandpolypharmacy.
Howlongantipsychoticsshouldbetaken?
Thereisnodefiniteguidelineforthisquestionsofar,sincepsychiatricpharmacologicalinterventionisveryindividualized,dependingonvariousdiseaseconditionsandindividualsituations.However,generallyantipsychoticsshouldbetakenforaperiodoftimetopreventrelapses.Long-termmedicationisespeciallyindicatedforthosewithmultiplerelapsesandrepeatedhospitalizations.
Howimportantregulardrugcomplianceisinpreventionofrelapsesofthedisease?
Accordingtorecentstudies,theannualrelapserateisapproximately30%amongthosewhoareregularlymedicated.Asforthosewithpoordrugcompliance,therelapserateiseven70%.Patients’socialandoccupationalfunctionwilldeclinewitheachrelapses.Long-terminterpersonalrelationshipwillbehardtomaintain.Therefore,itisnotawisewaytoadjustthemedicationbyyourselfwhenyouhavedoubtwithit.Itisencouragedtodiscussyourdoubtregardinghowmuchandhowlongthemedicationshouldbetaken.
Whenfemalepatientsareplanningforapregnancyorfindherselfpregnant,discussitwithyourdoctorsregardingmedicationuse.
Medicationsideeffectsandmanagement
BothChineseandWesternmedicationhavesideeffects. Appropriateandadequateuseofthemedicationminimizesthechanceofsideeffects. Theoccurrenceofsideeffectsmayvaryfromindividualtoindividual.
Ifyoususpectthatsomeofthediscomfortsyouarefeelingareduetomedicationsideeffects,youshoulddiscusswithyourphysician.Toreducethesymptomsofsideeffects.Thefollowingisthepossiblesideeffectspossiblyoccurringandthemanagement.
Sideeffects
Management
Sedation
Transient,shorttermsleepiness,itcouldbetoleratedforaperiodofthetime. Butifthesedativeeffectsareintolerable,discussionwiththedoctoraboutchangingthetimethemedicationistakenmaybeneeded.
Parkinsonism,hypersalivation,musclerigidity,shufflinggait,involuntarymovements,tremor,maskedface,bradykinesia,psychomotorretardation
Mildsymptoms:
discomfortmaybereducedbyrestandslowexercises(walking).
Tremorcouldbeminimizedbyputtinghandsinyourpockets,crossingyourarmsandcrossingyourlegs.
Whenyourdiscomfortpersistedoraggravated,it’stimetodiscusswithyourdoctoraboutmedication adjustment.
Orthostatichypotension
Restforamomentwhenyouchangeyourpositions(sittinguporstandingupforexample),started walkingormovingwhenthedizzinesssubsided.
Drymouth
Usefewamountsofwatertocleanseyourmouth,orholdwaterinyourmouth,orchewingnon-sweetenedgums.
Constipation
Encourageintakeinfluidsandfibers(vegetable,fruits)andadequateexercises
Blurredvision
Transient,reversible
Restlessness,akathisia
Allowonetowalkaround,andgiveappropriaterests.
Amenorrheaorirregularmensesforthewomen
Transientandnotaffectingthefertilityissueorhealth. Ifstillconcernedorplanningforapregnancy,please discuss withyourphysician.
Impotence,ejaculatoryproblemsanddifficulturinationforthemen
Transient,reversible
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