Patología dual en trastornos de ansiedadrecomendaciones en el tratamiento farmacológico
- Saiz Martínez, Pilar Alejandra 12
- Jiménez Treviño, Luis 1
- Díaz Mesa, Eva Mª 2
- García Portilla González, María Paz 12
- Marina González, Pedro 1
- Al-Halabi Díaz, Susana 2
- Szerman Bolotner, Nestor
- Bobes García, Julio 12
- Ruiz, Pedro
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1
Universidad de Oviedo
info
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2
Centro de Investigacion Biomedica en Red de Salud Mental
info
Centro de Investigacion Biomedica en Red de Salud Mental
Madrid, España
ISSN: 0214-4840
Año de publicación: 2014
Volumen: 26
Número: 3
Páginas: 254-274
Tipo: Artículo
Otras publicaciones en: Adicciones: Revista de socidrogalcohol
Resumen
Los trastornos por uso de sustancias y los trastornos de ansiedad presentan una gran comorbilidad (entre el 18% y 37%), lo cual complica el tratamiento y empeora el pronóstico de los pacientes (incluido mayor riesgo de suicidio). Son pocos los trabajos de investigación terapéutica que hayan abordado de forma específica el tratamiento farmacológico de los trastornos de ansiedad en caso de patología dual. La mayor parte de los autores apuestan por el abordaje de ambos trastornos de forma integral y simultánea. Los datos procedentes de la revisión de la literatura indican que los fármacos recomendados habitualmente en el tratamiento para los trastornos de ansiedad también son eficaces en el tratamiento de la ansiedad dual. Los antidepresivos ISRS constituyen el tratamiento de primera línea en los trastornos de ansiedad duales, mientras que las benzodiacepinas son fármacos a evitar. En los últimos años se observa una gran tendencia a utilizar fármacos antiepilépticos de última generación, los cuales muestran resultados prometedores en estudios abiertos y series de casos, en especial la pregabalina en el trastorno de ansiedad generalizada.
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