000			02772na a2200253 4500
003			H12O
005			20180417112610.0
008			130622s2011 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_aBallesteros Sanz, Daniel _91877 _ePsiquiatría
100			_aSanz Fuentenebro, Francisco Javier _91875 _ePsiquiatría
100			_aVerdura Vizcaíno, Ernesto José _91878 _ePsiquiatría
245	0	0	_aEficacia y riesgos de la combinación de psicofármacos con el tratamiento electroconvulsivo _h[artículo]
260			_bRevista de Psiquiatría y Salud Mental, _c2011
300			_a4(1):42-52.
500			_aFormato Vancouver: Sanz-Fuentenebro FJ, Vidal Navarro I, Ballesteros Sanz D, Verdura Vizcaíno E. Eficacia y riesgos de la combinación de psicofármacos con el tratamiento electroconvulsivo. Rev Psiquiatr Salud Ment. 2011;4(1):42-52.
501			_aPMID: 23446101
504			_aContiene 133 referencias
520			_aThe simultaneous application of electroconvulsive therapy (ECT) and psychotropic drugs is based on sparse data. Despite this, and the restrictive approach of the Guidelines and Consensus is widespread in the usual care, it is widely practiced in routine clinical. METHOD: We reviewed the results of search on the topic in MEDLINE, PsychINFO, EMBASE and Cochrane, and the main guidelines on the subject and analyzed for drug groups. RESULTS: Except some reservation with regard to classical MAOIs, antidepressants are safe and effective enhancers of the TEC. It is desirable to discontinuation of BZD whenever clinically possible before the course of ECT for risk of interference, if not possible will have to use proper technique to ensure effective incentives. It is advisable to stop or reduce the dose of lithium prior to ECT based on a cost-benefit analysis of the risk of relapse, if maintained will be adjusted lower levels and cognitive effects minimizing techniques. The combination with "classic" and "atypical" antipsychotics power positive clinical effects and the risk of combined use is low. The positive data are collected with clozapine and ECT-resistant psychosis, with little presence of effects of the decrease of seizure threshold by clozapine, and important effect of empowerment, but of limited duration. CONCLUSIONS: Although it is strictly necessary to identify situations in terms of drugs, patient and ECT technique, and care necessary to develop tests that provide methodologically sound data, the combined use of ECT and psychotropic drugs in general presents an acceptable risk level and efficacy data by encouraging empowerment.
710			_9150 _aServicio de Psiquiatría
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5889.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c5889 _d5889