000 nab a22 7a 4500
999 _c17553
_d17553
003 PC17553
005 20230703115044.0
008 230703b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aspa, eng
100 _91766
_aPosada Rodríguez, Ignacio Javier
_e Neurología
_e
245 0 0 _aAntidepresivos en la enfermedad de Parkinson. Recomendaciones del grupo de trastornos del movimiento de la Asociación Madrileña de Neurología.
_h[revisión]
260 _bNeurología,
_c2018
300 _a33(6):395-402.
500 _aFormato Vancouver: Peña E, Mata M, López Manzanares L, Kurtis M, Eimil M, Martínez Castrillo JC et al; en nombre del grupo de trastornos del movimiento de la Asociación Madrileña de Neurología. Antidepresivos en la enfermedad de Parkinson. Recomendaciones del grupo de trastornos del movimiento de la Asociación Madrileña de Neurología. Neurologia. 2018;33(6):395-402.
501 _aPMID: 27004670
504 _aContiene 40 referencias
520 _aIntroduction: Although antidepressants are widely used in Parkinson's disease (PD), few well-designed studies to support their efficacy have been conducted. Development: These clinical guidelines are based on a review of the literature and the results of an AMN movement disorder study group survey. Conclusions: Evidence suggests that nortriptyline, venlafaxine, paroxetine, and citalopram may be useful in treating depression in PD, although studies on paroxetine and citalopram yield conflicting results. In clinical practice, however, selective serotonin reuptake inhibitors are usually considered the treatment of choice. Duloxetine may be an alternative to venlafaxine, although the evidence for this is less, and venlafaxine plus mirtazapine may be useful in drug-resistant cases. Furthermore, citalopram may be indicated for the treatment of anxiety, atomoxetine for hypersomnia, trazodone and mirtazapine for insomnia and psychosis, and bupropion for apathy. In general, antidepressants are well tolerated in PD. However, clinicians should consider the anticholinergic effect of tricyclic antidepressants, the impact of serotonin-norepinephrine reuptake inhibitors on blood pressure, the extrapyramidal effects of antidepressants, and any potential interactions between monoamine oxidase B inhibitors and other antidepressants.
710 _9267
_aServicio de Neurología-Neurofisiología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17553.pdf
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942 _2ddc
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