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Risperidona en el tratamiento de la agitación y la agresión asociadas con trastornos psiquiátricos

Published online by Cambridge University Press:  12 May 2020

Peter Paul De Deyn
Affiliation:
Departamento de Neurología, Hospital y Laboratorio de Neuroquímica y Comportamiento de Middelheim, Departamento de Ciencias Biomédicas, Fundación Born Bunge, Universidad de Amberes (UA), Universiteitsplein 1, 2610Amberes (Wilrijk), Bélgica
Jan Buitelaar
Affiliation:
Departamento de Psiquiatría y Centro Universitario para Psiquiatría del Niño y del Adolescente, Centro Médico Universitario, St. Radboud, Nimega, Países Bajos
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Resumen

Esta revisión proporciona una panorámica general de la prevalencia y el tratamiento de la agitación y la agresión, y se centra en el uso de la risperidona para tratar estos síntomas en pacientes de grupos de edad diferentes.

Metodos

Se utilizaron las bases de datos MEDLINE® y EMBASE® para identificar estudios controlados de risperidona en el tratamiento de los trastornos de comportamiento perturbador y los trastornos generalizados del desarrollo en pacientes pediátricos, la agitación aguda o la agresión en adultos y los síntomas psicológicos y conductuales de la demencia en los ancianos. Ademá, se consideraron ensayos clave al; descubierto a largo plazo que evaluaban la eficacia y la seguridad de la risperidona.

Resultados

Los resultados de los 19 estudios doble ciego identificados mostraban que la risperidona es eficaz en el tratamiento de la agitación y la agresion en las diferentes poblaciones, con independencia de la edad. La seguridad y la tolerabilidad de la risperidona parecen ser buenas en conjunto, pero se resaltaba algunas cuestiones de seguridad, como un riesgo más alto de acontecimientos adversos cerebro-vasculares en los ancianos con demencia.

Conclusiones

La risperidona es ύtil para tratar la agresión y la agitación asociadas con diversos trastornos psiquiatricos en pacientes de grupos de edad diferentes.

Type
Revisión
Copyright
Copyright © European Psychiatric Association 2006

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