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書籍詳細

未契約
書籍名 新規抗精神病薬のすべて
出版社 先端医学社
発行日 2004-02-01
著者
  • 加藤進昌(編集)
  • 上島国利(編集)
  • 小山司(編集)
ISBN 4884071255
ページ数 300
版刷巻号 第1版第1刷
分野
シリーズ 各薬剤の臨床実践
閲覧制限 未契約

治療薬を日常臨床にいかに応用すべきか、あらゆる角度からその可能性を探り、EBMから治療戦略までも網羅した薬剤の使い方の実践書。 新規抗精神病薬の登場は精神医療にブレイクスルーをもたらした。新規抗精神病薬は従来薬で問題となっていた錐体外路症状をはじめとする有害反応が軽減されたことで、再燃再発防止に役立ち、社会的機能が改善し、患者のQOLは向上することが期待される。新規抗精神病薬の基礎的研究、臨床現場での適切な使用方法、安全性とQOLまで、適切に薬剤を処方するためのすべての情報を網羅。

目次

  • 表紙
  • 序文
  • 執筆者一覧
  • 目次
  • PART 1 臨床薬理編
    P.15閲覧
    • ▼1. 新規抗精神病薬の薬理学的プロフィール
      • a. ドパミンD2受容体遮断作用
        • はじめに
        • ドパミン神経系と抗精神病薬
        • 内在性ドパミンとの関連
        • D2受容体からの急速解離
        • D2受容体up-regulationの今日的意義
        • D2受容体と非定型性
        • おわりに
    • ▼1. 新規抗精神病薬の薬理学的プロフィール
      • b. 5-HT2A受容体拮抗作用
        • はじめに
        • 非定型抗精神病薬の抗ドパミン作用と抗セロトニン作用 : 歴史的経緯をふまえて
        • おわりに
    • ▼1. 新規抗精神病薬の薬理学的プロフィール
      • c. 5-HT1A受容体刺激作用
        • はじめに
        • 5-HT1A受容体の薬理・生化学
        • 統合失調症患者脳の5-HT1A受容体
        • 5-HT1A受容体部分作動薬としてのclozapine
        • 5-HT1A受容体作動薬としての作用をもつ抗精神病薬
        • 統合失調症と5-HT1A受容体
        • おわりに
    • ▼2. 新規抗精神病薬の薬物動態と反応性
      • はじめに
      • 新規抗精神病薬における薬物動態学的研究
        • 1) リスペリドン (Risperidone)
        • 2) Clozapine
        • 3) オランザピン (Olanzapine)
        • 4) クエチアピン (Quetiapine)
        • 5) ペロスピロン (Perospirone)
      • 血中濃度を検討する際に留意すべき問題
      • おわりに
  • PART 2 治療編
    P.47閲覧
    • ▼1. 定型抗精神病薬と新規抗精神病薬の使い分け
      • はじめに
      • 定型薬の限界点
      • 定型薬と非定型薬との比較
        • 1) 用量の問題
        • 2) すべての非定型薬は定型薬に秀でるか?
        • 3) 適応疾患
        • 4) 副作用
        • 5) 剤型
        • 6) 妊娠時
        • 7) 血中濃度測定
        • 8) コストベネフィット
      • おわりに
    • ▼2. 海外における新規抗精神病薬の臨床評価と位置づけ ―EBMからの考察―
      • はじめに
      • 新規抗精神病薬の各薬剤について
        • 1) Clozapine
        • 2) リスペリドン
        • 3) オランザピン
        • 4) クエチアピン
        • 5) Ziprasidone
        • 6) ゾテピン
      • メタ解析
      • おわりに
    • ▼3. 急性期における新規抗精神病薬の臨床評価
      • はじめに
        • 1) 統合失調症急性期の定義
        • 2) 急性期症状の分類
        • 3) 急性期症状表出期間, および時間的経過からの分類
      • 急性期症状と病態生理
      • 非定型抗精神病薬の薬理特性
        • 1) 各非定型抗精神病薬の薬理特性と受容体親和性
      • 非定型抗精神病薬と急性期の臨床評価エビデンス
        • 1) リスペリドン
        • 2) オランザピン
        • 3) クエチアピン
        • 4) ペロスピロン
        • 5) ゾテピン
      • 急性期症状に対する非定型抗精神病薬間の比較評価エビデンス
        • 1) 薬効比較臨床試験
        • 2) エキスパートコンセンサスガイドラインシリーズ精神科救急治療の紹介
      • わが国での非定型抗精神病薬の急性期臨床評価
      • 非定型抗精神病薬, 急性期使用自験例の紹介
      • 今後の急性期治療のストラテジー
      • おわりに ―非定型抗精神病薬を急性期に使用する際の留意点―
    • ▼4. 新規抗精神病薬の長期効果をめぐって ―認知の改善に伴う精神症状の変遷―
      • はじめに
      • 統合失調症の臨床に影響をもつ最近の見解
      • 事例
        • 1) 発病後の経過
        • 2) リスペリドン切り替え後の経過
      • 考察
      • おわりに
    • ▼5. 新規抗精神病薬と統合失調症の再発予防効果について
      • はじめに
      • 統合失調症における再発
      • 新規抗精神病薬における各薬剤の再発予防効果に関する報告
        • 1) リスペリドン (Risperidone)
        • 2) オランザピン (Olanzapine)
        • 3) クエチアピン (Quetiapine)
        • 4) ペロスピロン (Perospirone)
        • 5) Ziprasidone
        • 6) ゾテピン (Zotepine)
      • Naturalistic study
      • 統合失調症における再発
      • おわりに ―統合失調症の再発予防という観点から―
    • ▼6. 治療抵抗性統合失調症における新規抗精神病薬の有効性
      • はじめに
      • 治療抵抗性統合失調症の定義
      • 治療抵抗性統合失調症に対するclozapine
      • 治療抵抗性統合失調症に対するリスペリドン, オランザピン, クエチアピン, ペロスピロン
      • おわりに
    • ▼7. 欧米の治療ガイドラインにおける新規抗精神病薬の位置づけ
      • はじめに
      • 非定型抗精神病薬
        • 1) 技術
        • 2) 薬剤
      • 治療ガイドラインと非定型抗精神病薬
        • 1) 統合失調症の治療 1999 エキスパート・コンセンサス・ガイドライン (ECG)
        • 2) 統合失調症治療のための新たな (非定型) 抗精神病薬の使用に関する指針 (NICE)
        • 3) 精神科治療薬の処方ガイドライン : モーズレイ 2003 第7版 (MPG)
      • 統合失調症治療における非定型抗精神病薬の位置づけ
      • おわりに
    • ▼8. 日本の統合失調症治療における新規抗精神病薬の位置づけ
      • はじめに
      • 薬理学的位置づけ
        • 1) 個々の受容体親和性の比較
        • 2) 受容体相互の関係から
      • 臨床効果 ―従来型と新規抗精神病薬の比較―
      • 錐体外路症状 ―ハロペリドールとの比較を通して―
      • 錐体外路症状以外の副作用
        • 1) 体重増加
        • 2) 耐糖能異常
        • 3) 高プロラクチン血症
        • 4) 臨床効果と副作用のまとめ
      • 新規抗精神病薬の位置づけ
        • 1) 新規抗精神病薬の使い方の原則
        • 2) 新規抗精神病薬の使い分け
      • おわりに
  • PART 3 新規抗精神病薬を用いた臨床例
    P.119閲覧
    • ▼ リスペリドン・初回エピソード
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ リスペリドン・急性期
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ リスペリドン・プロラクチンの上昇
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ オランザピン・治療抵抗性
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ オランザピン・糖尿病
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ クエチアピン・せん妄
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ クエチアピン・QT延長
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ クエチアピン・高脂血症
      • はじめに
      • 症例提示
      • 考察
      • おわりに
    • ▼ ペロスピロン・目覚め現象
      • はじめに
      • 症例提示
      • 考察
      • おわりに
  • PART 4 治療上の注意点
    P.149閲覧
    • ▼1. 新規抗精神病薬の単剤治療による臨床評価
      • はじめに
      • 単剤治療とは
      • 新規抗精神病薬は単剤治療が原則である理由
      • 新規抗精神病薬の選択について
      • 新規抗精神病薬の投与量についての原則
      • 新規抗精神病薬の投与期間と効果判定についての原則
      • 新規抗精神病薬同士の切り替え (switching) 方法と注意点
      • おわりに
    • ▼2. 統合失調症の多剤併用・大量療法 ―改善のための指針―
      • はじめに
      • 抗精神病薬療法の目的と原理
      • 多剤・大量療法の問題点 錯覚あるいは誤解について
        • 1) 急性効果,鎮静作用に対する誤解
        • 2) 標的症状に対する誤解
      • 単剤・減量化の理論と技術
        • 1) 薬剤の選択 : 用量問題として考える
        • 2) 減量・切り替えのための原理・原則
        • 3) 補助治療薬の活用 : skillful polypharmacy
      • おわりに
    • ▼3. 精神運動興奮が激しい場合の新規抗精神病薬による治療原則
      • はじめに
      • 米国での精神運動興奮に対する治療の現状
      • 新規抗精神病薬の精神運動興奮に対する効果
        • 1) リスペリドン
        • 2) ペロスピロン
        • 3) クエチアピン
        • 4) オランザピン
      • 精神運動興奮に対する新規抗精神病薬の投与法について
      • おわりに
  • PART 5 安全性とQOL
    P.177閲覧
    • ▼1. 新規抗精神病薬とQOL
      • はじめに
      • QOLの概念
      • 精神障害者のQOL
      • 抗精神病薬とQOL
      • おわりに
    • ▼2. 新規抗精神病薬と服薬コンプライアンス
      • はじめに
      • コンプライアンスの理由と要因
        • 1) 治療体制に関すること
        • 2) 治療法に関すること
        • 3) 医師患者相互関係
        • 4) 患者本人に関すること
        • 5) 家族や援助者などに関すること
      • ノンコンプライアンスの理由と要因
        • 1) 症状に関する問題
        • 2) 治療体制に関する問題
        • 3) 治療法に関する問題
        • 4) 医師患者相互関係に関する問題
        • 5) 患者本人に関する問題
        • 6) 家族や援助者などの問題
      • 抗精神病薬のコンプライアンスを規定するもの
      • コンプライアンスの面で新規抗精神病薬に期待されること
      • おわりに
    • ▼3. 新規抗精神病薬の副作用
      • はじめに
      • 新規抗精神病薬による副作用
        • 1) 錐体外路症状
        • 2) 遅発性ジスキネジア
        • 3) 抗コリン作用にもとづく副作用
        • 4) 眠気・過鎮静
        • 5) 体重増加
        • 6) 糖代謝異常・糖尿病
        • 7) 高脂血症
        • 8) けいれん発作
        • 9) 起立性低血圧
        • 10) QT延長・心毒性
        • 11) 高プロラクチン血症
        • 12) 血液障害
      • 副作用を防ぐには
      • おわりに
    • ▼4. 新規抗精神病薬の相互作用
      • はじめに
      • 薬物動態的相互作用
        • 1) リスペリドン
        • 2) オランザピン
        • 3) クエチアピン
        • 4) ペロスピロン
        • 5) Ziprasidone
      • 薬力学的相互作用
      • おわりに
    • ▼5. 新規抗精神病薬の代謝系副作用 ―糖尿病と高脂血症―
      • はじめに
      • 新規抗精神病薬による耐糖能障害
      • 新規抗精神病薬による耐糖能障害の発現機序
      • 新規抗精神病薬治療中の耐糖能モニタリング
      • 新規抗精神病薬による耐糖能障害の治療
      • 新規抗精神病薬による高脂血症
      • おわりに
  • PART 6 将来展望
    P.217閲覧
    • ▼1. 新規抗精神病薬が精神科領域で果たす今後の役割
      • はじめに
      • 双極性障害
        • 1) 躁状態
        • 2) 抑うつ状態
      • 強迫性障害
      • そのほかの精神障害
      • おわりに
    • ▼2. デイケア通所者の体力および社会生活技能訓練
      • はじめに
      • 体力
        • 1) 方法
        • 2) 結果
        • 3) 考察
      • 社会生活技能訓練 (SST)
      • 症例提示
        • 1) 症例
        • 2) LASMI, WHOQOL26の結果
      • おわりに
    • ▼3. 地域精神保健システムにおける新規抗精神病薬の役割
      • はじめに
      • 非定型抗精神病薬による新たな患者層
        • 1) 症例1 : 急性期を短期間で脱した後, 復職を試み失敗した症例
        • 2) 症例2 : ADLが向上し援護寮に退院した慢性期の症例
      • 非定型抗精神病薬によるリハビリテーションの変化
      • 非定型抗精神病薬後の地域精神保健システム
      • おわりに
    • ▼4. 医療経済学から見た新規抗精神病薬の可能性
      • はじめに
      • 新規抗精神病薬の経済評価
        • 1) 経済評価の基本的枠組み
        • 2) 新規抗精神病薬の経済評価
      • 新規抗精神病薬の特性とその経済的意味
        • 1) 経済評価研究からの示唆
        • 2) 新規抗精神病薬の潜在的可能性
      • おわりに
    • ▼5. 認知機能における新規抗精神病薬の今後の可能性
      • はじめに
      • 新規抗精神病薬の認知機能への影響
      • 生物学的基盤を求めて
      • おわりに
  • PART 7 基礎編
    P.255閲覧
    • ▼1. 5-HT受容体遺伝子と統合失調症
      • はじめに
      • 5-HT受容体遺伝子と統合失調症との関連研究
        • 1) 5-HT2A受容体遺伝子 (HTR2A)
        • 2) 5-HT2C受容体遺伝子 (HTR2C)
        • 3) 5-HT5A受容体遺伝子 (HTR5A)
        • 4) 5-HT6受容体遺伝子 (HTR6)
      • 5-HT受容体の薬理遺伝学的研究
        • 1) 薬物治療反応性と5-HT受容体遺伝子の薬理遺伝学的研究
        • 2) 副作用と5-HT受容体遺伝子の薬理遺伝学的研究
      • おわりに
    • ▼2. ドパミン受容体遺伝子と統合失調症
      • はじめに
      • ドパミンD1受容体遺伝子 (DRD1) 5q35.1
        • 1) ドパミンD1受容体遺伝子多型と統合失調症
        • 2) ドパミンD1受容体遺伝子多型と抗精神病薬
      • ドパミンD2受容体遺伝子 (DRD2)
        • 1) ドパミンD2受容体遺伝子多型と統合失調症
        • 2) ドパミンD2受容体遺伝子多型と抗精神病薬
      • ドパミンD3受容体遺伝子 (DRD3)
        • 1) ドパミンD3受容体遺伝子多型と統合失調症
        • 2) ドパミンD3受容体遺伝子多型と抗精神病薬
      • ドパミンD4受容体遺伝子 (DRD4)
        • 1) ドパミンD4受容体遺伝子多型と統合失調症
        • 2) ドパミンD4受容体遺伝子多型と抗精神病薬
      • ドパミンD5受容体遺伝子 (DRD5)
        • 1) ドパミンD5受容体遺伝子多型と統合失調症
        • 2) ドパミンD5受容体遺伝子多型と抗精神病薬
      • おわりに
    • ▼3. 最初期遺伝子と核内情報伝達系
      • はじめに
      • c-fos遺伝子
      • 抗精神病薬による最初期遺伝子誘導
        • 1) 線条体
        • 2) 側坐核
        • 3) 前頭前野
      • 統合失調症様症状発現薬の最初期遺伝子誘導と抗精神病薬
        • 1) 統合失調症様症状発現薬が誘導する最初期遺伝子発現パターン
        • 2) 統合失調症様症状発現薬の最初期遺伝子誘導に対する抗精神病薬の影響
      • おわりに
    • ▼4. 統合失調症関連遺伝子
      • はじめに
      • 分子遺伝学研究への期待
      • おもな病態仮説と候補遺伝子
      • 分子遺伝学研究の現状
      • おわりに
    • ▼5. 統合失調症の画像所見と画像研究
      • はじめに
      • 統合失調症の神経伝達機能
        • 1) ドパミン系
        • 2) 5-HT系
        • 3) GABAa / ベンゾジアゼピン受容体
        • 4) グルタミン酸系
      • 抗精神病薬の受容体占有率と脳内動態
        • 1) PETによる薬物受容体の占有率測定
        • 2) 抗精神病作用と線条体ドパミンD2受容体占有率
        • 3) 錐体外路症状と線条体ドパミンD2受容体占有率
        • 4) 新規抗精神病薬の「非定型」性
      • おわりに
  • 索引
    P.291閲覧
  • 奥付

参考文献

PART 1 臨床薬理編

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PART 2 治療編

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PART 3 新規抗精神病薬を用いた臨床例

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  • 2) 上田均, 及川暁, 酒井明夫: 急性期における使い分け. 臨床精神薬理 5:1027-1035, 2002

P.127 掲載の参考文献

  • 1) Allen M H: Managing the agitated psychotic patient. A reappraisal of J Clin Psychiatry 61 (Suppl 14):ll-20, 2000
  • 2) Allen M H: 激越性精神病患者マネージメント法の進歩. 臨床精神薬理 3:1203-1210, 2000
  • 3) 南光進一郎, Currier G W, Conley R et al: Round Table Discussion. 臨床精神薬理 4:1697-1707, 2001
  • 4) 大下隆司: 急性期精神病患者へのアプローチ. 臨床精神薬理5 (増刊):311-321, 2002

P.130 掲載の参考文献

  • 1) 生駒幸弘, 赤井哲夫, 仲田行恵ほか: 麦角アルカロイド誘導体テルグリドの中枢神経への影響: 生化学的及び行動薬理学的検討. 日本薬理学雑誌 102:113-129, 1993
  • 2) 中山和彦, 勝 久寿: 性ホルモンと気分障害関連障害 (更年期障害を含む). 臨床精神医学 27:1105-1112, 1998
  • 3) Svensson K, Eriksson E, Carlsson A: Partial dopamine receptor agonists reverse behavioral, biochemical and neuroendocrine effects of neuroleptics in the rat: potential treatment of extrapyramidal side effects. Neuropharmacology 32:1037-1045, 1993
  • 4) Filip V, Marsalek M, Halkova E et al: Treatment of extrapyramidal side effects with terguride. Psychiatry Research 41:9-16, 1992
  • 5) Allison DB, Mentore JL, Heo M et al: Antipsychotic-induced wait gain: A comprehensive research synthesis. Am J Psychiatry 156:1686-1696, 1999
  • 6) Golda V: Ambient effect of long lasting terguride treatment on genetically based glycide and lipid metabolism abnormalities in SHR/N-cp Koletsky rats. Acta Medica 41:81-85, 1998

P.134 掲載の参考文献

  • 1) 小山司, 井上猛, 高橋義人ほか: 治療抵抗性精神分裂病に対するolanzapine長期投与時の臨床効果. 臨床精神薬理 4:109-125, 2001
  • 2) Lemer V: High-dose olanzapine for treatment-refractory schizophrenia. Clinical Neuropharmacology 26:58-61, 2003
  • 4) Taylor D, Refractory schizophrenia: evidence-based treatment. Pharm Journal 263 (Suppl 1):2-3, 1999
  • 5) Tollefson GD, Birkett MA, Kiesler GM et al: Double-blind comparison of olanzapine versus clozapine in schizophrenic patients clinically eligible for treatment with clozapine. Biol Psychiatry 49:52-63, 2001

P.139 掲載の参考文献

  • 1) 内藤宏, 織田直久, 伊藤光泰ほか: 非定型抗精神病薬による肥満, 耐糖能障害と糖尿病性ケトアシドーシス. 臨床精神医学 32:489-499, 2003
  • 2) 中根允文: 統合失調症患者と糖尿病. 臨床精神薬理 6:751-766, 2003

P.141 掲載の参考文献

  • 1) 佐々木幸哉, 角南智子, 井上誠士郎ほか: せん妄に対するquetiapineの使用経験. 第24回日本生物学的精神医学会プログラム・講演抄録:289, 2002
  • 2) 佐々木幸哉, 傳田健三, 小山司: Quetiapineが著効したせん妄の3症例. 精神医学 43: 1253-1255, 2001

P.143 掲載の参考文献

  • 2) 定永恒明, 定永史子, 八尾博史: 向精神薬と心電図QTc時間延長もしくはTorsades de pointesについて. 精神医学 43:921-921, 2001

P.145 掲載の参考文献

  • 1) 長嶺敬彦: 新規抗精神病薬と高脂血症. 臨床精神薬理 5:1421-1427, 2002
  • 2) 長嶺敬彦: 精神病院入院患者における高脂血症の頻度. 精神医学 43:1263-1268, 2001

P.148 掲載の参考文献

  • 1) 伊賀淳一, 吉松誠, 前田正人: Perospironeにより著明改善し目覚め現象を経て退院した治療抵抗性分裂病の1症例. 精神医学 44:261-264, 2002

PART 4 治療上の注意点

P.160 掲載の参考文献

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  • 2) 伊藤斉, 藤井康男: 向精神薬の併用の実態とメリット, デメリットの論議をめぐって. 神経精神薬理 5:149-184, 1983
  • 3) 稲垣中: 精神分裂病治療における抗精神病薬の多剤併用に関する日本と諸外国との比較. 臨床精神薬理 4:1381-1388, 2001
  • 4) 稲垣中, 不破野誠一, 福田真道ほか: 国立精神病院に入院中の分裂病患者における抗精神病薬の処方実態. 第11回日本臨床精神神経薬理学会 (学会抄録), 広島, 2001, pp. 21
  • 5) 稲垣中, 冨田真幸: 日本における新規抗精神病薬と多剤大量処方. 臨床精神薬理 6:391-401, 2003
  • 6) 宮本聖也, 大木美香: 抗精神病薬の選択と多剤併用. 臨床精神薬理 5:1633-1641, 2002
  • 7) 稲垣中, 稲田俊也, 藤井康男ほか: 向精神薬の等価換算表. 星和書店, 東京, 2000
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  • 10) 藤井康男: 多剤併用から新しい抗精神病薬治療へ. 臨床精神薬理 4:1371-1379, 2001
  • 11) 風祭元: 我が国の精神科医療における長期大量多剤投与とその副作用. 精神医学 39:1181-1187, 1997
  • 12) 大森哲郎: 向精神薬の併用: 有効な場合と有害な場合. 臨床精神医学 30:1071-1076, 2001
  • 13) Lieberman JA: Atypical antipsychotic drugs as a first-line treatment of schizophrenia: a rationale and hypothesis. J Clin Psychiatry 57 (Suppl 11):68-71, 1996
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  • 19) 青葉安里, 宮本聖也: 新規抗精神病薬の光と影. 臨床精神薬理 5:1375-1389, 2002
  • 21) Schotte A, Janssen PFM, Gommeren W et al: Risperidone compared with new and reference antipsychotic drugs: in vitro and in vivo receptor binding. Psychopharmacology 124:57-73, 1996
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  • 27) 石郷岡純, 吉岡正哉: 精神分裂病におけるQOL (quality of life) の改善をめざした薬物療法. 臨床精神薬理 5:3-13, 2002
  • 28) 藤井康男, 福田真道: 新しい抗精神病薬導入に伴う分裂病薬物治療の変化. 精神科治療学 16:1243-1251, 2001
  • 29) 諸川由美代: 非定型抗精神病薬-SDA-の社会復帰に果たす役割. 臨床精神薬理 4:317-324, 2001
  • 31) 大森哲郎: 従来型抗精神病薬および新規非定型抗精神病薬の役割分担と使い分け. 臨床精神薬理 5:1019-1026, 2002
  • 32) Remington G, Kapur S: D2 and 5-HT2 receptor effects of antipsychotics: bridging basic and clinical findings using PET. J Clin Psychiatry 60 (Suppl 10):15-19, 1999
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  • 40) Kapur S, Zipursky RB, Remington G et al: 5-HT2 and D2 receptor occupancy of olanzapine in schizophrenia: a PET investigation. Am J Psychiatrv 155:921-928, 1998
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  • 50) 藤井康男: 分裂病薬物治療の新時代. ライフ・サイエンス, 東京, 2000
  • 51) Beasley Jr CM, Sanger T, Satterlee W et al: Olanzapine versus placebo: results of a double-blind, fixed-dose olanzapine trial. Psychopharmacology 124:159-167, 1996
  • 52) 宮本聖也: 非定型抗精神病薬による急性期治療が成功した統合失調症 (精神分裂病) の再発激越例. PSYSICIANS THERAPY MANUAL 9:9-10, 2002
  • 54) 村崎光邦, 小山司, 町山幸輝ほか: 新規抗精神病薬塩酸perospironeの精神分裂病に対する臨床評価-haloperidolを対照薬とした第III相試験. 臨床評価 24:159-205, 1997
  • 55) Alphs LD, Summerfelt A, Lann H et al: The negative symptom assessment: a new instrument to assess negative symptoms of schizophrenia. Psychopharmacol Bull 25:159-163, 1989
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  • 57) 宮本聖也: 新世代の抗精神病薬による精神分裂病の治療:従来薬から非定型抗精神病薬への切り替えをいかに成功させるか? PSYCHO TOPICS 135:1-3, 2002
  • 58) 鈴木健文, 高野晴成, 渡邊衡一郎ほか: 精神病薬の多剤併用大量療法への対応ガイドライン. 臨床精神薬理 4:1423-1430, 2001
  • 59) 上田均, 酒井明夫: 従来型抗精神病薬からrisperidoneへの切り換え: その4. 臨床精神薬理 4:1709-1721, 2001
  • 60) Weiden PJ, Aquila R, Dalheim L et al: Switching antipsychotic medications. J Clin Psychiatry 58 (Suppl 10):63-72, 1997
  • 61) Weiden PJ, Aquila R, Emanuel M et al: Long-term considerations after switching antipsychotics. J Clin PSychiatry 59 (Suppl 19):36-49, 1998
  • 62) 宮本歩, 長尾喜代治, 長尾喜一郎ほか: 精神分裂病患者におけるrisperidoneからquetiapineへの切り替えについて. 臨床精神薬理 4:1433-1440, 2001
  • 63) 伊藤雅之, 丹羽真一, 松本出: 精神分裂病患者におけるrisperidoneからolanzapineへの切り替え -Quality of lifeの向上を目指して. 臨床精神薬理5 (増刊):415-426, 2002
  • 64) 宮本歩, 山田恒, 長尾喜代治ほか: 従来型抗精神病薬からquetiapineへの切り替えについて. 臨床精神薬理 5:71-80, 2002
  • 65) 宮本歩: 精神分裂病患者におけるquetiapine 24週間投与と経過観察. 臨床精神薬理 5:1127-1145, 2002
  • 66) 岩崎剛士, 丹羽真一, 松本出: 統合失調症患者におけるrisperidoneからquetiapineへの2段階増量法による切り替え. 臨床精神薬理6:593-603, 2003
  • 67) Stahl SM: Antipsychotic polypharmacy, part 2: tips on use and misuse. J Clin Psychiatry 60:506-507, 1999
  • 68) 宮本聖也, 青葉安里: 抗精神病薬の新薬開発の未来. 月刊薬事 44:57-62, 2002

P.170 掲載の参考文献

  • 1) 石郷岡純: 生涯薬物 (抗精神病薬) 療法, 新世紀の精神科治療1統合失調症の診療学, 岡崎祐士編, 中山書店, 東京, 2002, pp. 275-287
  • 2) 石郷岡純: 新規抗精神病医薬の開発の歴史と今後の動向. 脳の科学 25:425-436, 2003
  • 3) 石郷岡純: 単剤療法 (monotherapy) からskilful polypharmacyへ. Schizophrenia Frontiet:2:234-238, 2001
  • 4) 石郷岡純, 吉岡正哉: 精神分裂病におけるQOL (quality of life) の改善をめざした薬物療法. 臨床精神薬理 5:3-13, 2002
  • 5) 藤井康男: 21世紀の抗精神病薬療法-Olanzapine vs risperidone. 臨床精神薬理 4:1103-1110, 2001
  • 6) 宮本聖也, 大木美香: 抗精神病薬の選択と多剤併用. 臨床精神薬理 5:843-854, 2002
  • 7) Lambert T: 共通の治療目標: 抗精神病薬の切り替え. 臨床精神薬理 5:465-472, 2002

P.176 掲載の参考文献

  • 1) Allen MH, Currier GW, Hughes DH et al (大野裕訳): Treatment of behavioral emergencies, アルタ出版, 東京, 2002, pp. 48-63
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  • 4) Currier GW: Atypical antipsychotic medication in the psychiatric emergency service. J Clin Psychiatry 14 (Suppl) :21-26, 2000
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  • 7) 村崎光邦, 小山司, 町山光輝ほか: 新規抗精神病薬塩酸perospironeの精神分裂病に対する臨床評価-haloperidolを対照薬とした第m相試験Clin Eval 24:159-205, 1997
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PART 5 安全性とQOL

P.183 掲載の参考文献

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  • 10) 福原俊一: MOS Short-Form 36-ltem Health Survey: 新しい患者立脚型健康指標, 厚生の指標 46:40-45, 1999
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PART 6 将来展望

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