Zusammenfassung
„Antidepressiva“ umfassen eine heterogene Klasse von Neuro-/Psychopharmaka, die ursprünglich vorwiegend bei Patienten mit depressiven Symptomen eingesetzt wurden, heute aber eine weit über die depressive Störung hinausgehende therapeutische Anwendung finden. In diesem Kapitel werden die Antidepressiva aufgrund ihrer primären Wirkung auf molekulare Zielstrukturen in Monoamin-Wiederaufnahmehemmer, Monoamin-Oxidase-Hemmer, α2-Adrenozeptor-Antagonisten und atypische Antidepressiva mit multiplen pharmakologischen Wirkungen eingeteilt. Eine unter klinisch-therapeutischen Gesichtspunkten relevante Klassifikation ist die Einteilung in Substanzen mit vorhandener bzw. nicht vorhandener sedativ-hypnotischer Wirkung. In diesem Kapitel werden die Wirkmechanismen der Antidepressiva, die in der Kinder- und Jugendpsychiatrie eingesetzt werden, besprochen und schwerpunktmäßig diejenigen pharmakologischen Aspekte von Antidepressiva dargestellt, die für klinisch tätige ärztliche Kollegen für den therapeutischen Einsatz dieser Substanzen relevant sind. Dabei wird u. a. auf Anwendungsgebiete, die klinische Wirksamkeit und Studienlage eingegangen. Es werden Dosierungsempfehlungen gegeben und mögliche unerwünschte Arzneimittelwirkungen und -wechselwirkungen behandelt. Das Kapitel schließt mit Empfehlungen zur Behandlungsdauer sowie zu notwendigen Kontrolluntersuchungen im Rahmen der Pharmakotherapie mit Antidepressiva.
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Taurines, R., Gerlach, M., Warnke, A. (2016). Antidepressiva. In: Gerlach, M., Mehler-Wex, C., Walitza, S., Warnke, A., Wewetzer, C. (eds) Neuro-/Psychopharmaka im Kindes- und Jugendalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48624-5_5
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