Bipolar Bozukluk ve Parkinson Hastalığı Birlikteliğinde Farmakoterapi İkilemi: Bir Olgu Sunumu

Amaç: Bipolar bozukluk ile Parkinson hastalığının birlikteliğinde tedavilerinin birbirlerini olumsuz etkileyeceği bu nedenle kullanılan ajanların farmakodinamik etkilerine iyi düzeyde hakim olmanın tedavinin seyrini dolayısıyla hastanın iyilik halini ne ölçüde etkilediğini bir olgu üzerinden paylaşmak hedeflenmiştir. Olgu: 66 yaşındaki Bipolar bozukluğu olan erkek bir hastanın komorbid Parkinson hastalığı ile birlikte depresyon, mani ve parkinsonizm üçgeninde her üç durumu da dengede tutacak tedavi düzenlenmesi sunulmuştur. Sonuç: Dopamin agonisti ve antagonisti ajanların birlikte kullanılması etki ve yan etkiler açısından hassas bir denge gerektirmekte olup farmakodinamik etkilerin önemi tartışılmıştır.

Anahtar Kelimeler:

bipolar, parkinson, pramipeksol

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