Pharmacological management of aggression and violence.
Data(s) |
01/08/2003
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Resumo |
The pharmacological management of violence and aggression is a common and substantial clinical dilemma in the emergency psychiatric situation. A literature search was conducted through PubMed and using the Cochrane Library. This was followed by a manual search of selected literature. Randomised controlled trials were sought that specifically addressed the acute situation, rather than the ongoing management of chronic conditions. There was a paucity of well-controlled data and insufficient evidence to support the use of many agents in emergency situations. Many studies had considerable limitations making comparison difficult. Efficacy data for a range of treatment options exists, including the use of classical and atypical anti-psychotic agents, benzodiazepines and combination therapies. Clinical risk, tolerability and environmental factors need to form part of a careful and considered judgement in the choice of treatment. Safety, tolerability and the potential for a positive experience are major considerations, thus paving the way for long term compliance. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Wiley |
Relação |
http://dro.deakin.edu.au/eserv/DU:30071323/berk-pharmacologicalmanagement-2003.pdf http://www.dx.doi.org/10.1002/hup.504 http://www.ncbi.nlm.nih.gov/pubmed/12923820 |
Direitos |
2003, Wiley |
Palavras-Chave | #Science & Technology #Social Sciences #Life Sciences & Biomedicine #Clinical Neurology #Pharmacology & Pharmacy #Psychiatry #Psychology #Neurosciences & Neurology #PSYCHIATRY, SCI #rapid tranquillisation #neuroleptics #benzodiazepines #psychiatric emergency #agitation #ATYPICAL ANTIPSYCHOTIC MEDICATIONS #AGITATED PSYCHOTIC-PATIENTS #TORSADE-DE-POINTES #DOUBLE-BLIND TRIAL #RAPID TRANQUILIZATION #INTRAMUSCULAR HALOPERIDOL #INTRAVENOUS HALOPERIDOL #ZUCLOPENTHIXOL ACETATE #PARENTERAL HALOPERIDOL #ACUTE MANIA |
Tipo |
Journal Article |