Medikamentös induzierte neuropsychiatrische Störungen

Kernaussagen

• Eine große Anzahl von Medikamenten – sowohl Internistika als auch Neuropsychopharmaka – können psychische Auffälligkeiten hervorrufen.

• Multimorbide und ältere Menschen sind für neuropsychiatrische Störungen aufgrund der Einzelsubstanzen oder als Folge von Interaktionen (Wechselwirkungen) anfälliger.

• Delirien treten unter Pharmaka häufig maskiert auf, was die Diagnostik erschwert und die Letalität erhöht.

• Bei substanzinduzierten affektiven Störungen muss das Suizidrisiko berücksichtigt werden.

• Unerwünschte neuropsychiatrische Nebenwirkungen von Psychopharmaka sind selten, sollten aber wegen der möglichen nachteiligen Konsequenzen frühzeitig identifiziert und therapiert werden.

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