Abstract

JARAMILLO, Luis E  and  CASTILLO, Alejandro. Psychopharmacologic Treatment in Psychosomatic Medicine. rev.colomb.psiquiatr. [online]. 2006, vol.35, suppl.1, pp.141-156. ISSN 0034-7450.

Consultation-liaison psychiatrists face several clinical situations, such as, psychiatric complications from medical conditions or its treatments, psychiatric symptoms of medical ill patients, medical symptoms of neuropsychiatric disorders, and patients with comorbid medical and psychiatric conditions. Medical/chirurgical pathologies can alter the pharmacodynamic and pharmacokinetic of psychotropic drugs. At the same time use of psychotropic drugs can contribute to hinder the diagnosis of the surgical-medical diseases, its course and treatment, and mainly they can interact with other medicines used by patients. For those reasons it is of utmost importance that the consulting psychiatrist has a very good knowledge in dual diagnoses and in pharmacological actions of psychotropic drugs, and also on more frequently prescribed drugs in most of the services in general hospitals. This article provides a brief overview about using psychotropic drugs in medical/surgical patients. It includes topics such as psychotropic drugs and hepatic and renal diseases, psychotropic drugs in the peri-operative period, risk of drug-drug interactions including “natural” and alternative medicines. Finally, we suggest some basic guidelines for rational use of psychotropic drugs in consultation-liaison Psychiatry.

Keywords : Psychosomatic medicine; psychotropic drugs; drug interactions.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )