{"id":5,"date":"2016-03-06T17:13:04","date_gmt":"2016-03-06T16:13:04","guid":{"rendered":"https:\/\/filozofia.nett.to\/farmakologia\/2016\/03\/06\/problemy-psychiatrie\/"},"modified":"2026-01-28T00:43:51","modified_gmt":"2026-01-27T23:43:51","slug":"problemy-psychiatrie","status":"publish","type":"post","link":"https:\/\/filozofia.nett.to\/farmakologia\/sk\/problemy-psychiatrie\/","title":{"rendered":"Probl\u00e9my psychiatrie"},"content":{"rendered":"

Psychiatri ve\u013emi radi a \u010dasto predpisuj\u00fa pacientom tvrd\u00e9 drogy – sedat\u00edva – benzodiazep\u00edny. Na depresiu s\u00edce zaberaj\u00fa spo\u013eahlivo a perfektne, ale vytv\u00e1ra sa na ne ve\u013emi r\u00fdchlo tolerancia, d\u00e1vku treba st\u00e1le zvy\u0161ova\u0165 a ak je potrebn\u00e9 liek vysadi\u0165, ale nastan\u00fa katastrof\u00e1lne abstinen\u010dn\u00e9 pr\u00edznaky, \u010do je \u0165a\u017ek\u00e9 utrpenie pre pacienta.
\nhttps:\/\/cs.wikipedia.org\/wiki\/Benzodiazepin<\/a>
\nhttp:\/\/www.wikiskripta.eu\/index.php\/Benzodiazepiny<\/a>
\nhttps:\/\/en.wikipedia.org\/wiki\/Benzodiazepine<\/a>

Nen\u00e1vykov\u00e9 lieky nie s\u00fa same o sebe zl\u00e9. Probl\u00e9m spo\u010d\u00edva v inom. Bohu\u017eia\u013e \u010do je ve\u013emi smutn\u00e9, slovensk\u00ed psychiatri s\u00fa extr\u00e9mne hl\u00fapi a sami nevedia \u010do predpisuj\u00fa (a to doslovne), nerozumej\u00fa princ\u00edpu \u00fa\u010dinkov liekov, s\u00fa len nabiflen\u00ed z inform\u00e1cii z pr\u00edbalov\u00fdch let\u00e1\u010dikov a to je v\u0161etko. Ve\u013emi nebezpe\u010dn\u00e9 kombin\u00e1cie liekov alebo predpisovanie ve\u013emi nespr\u00e1vnych liekov s\u00fa ka\u017edodennou realitou.<\/strong>
\nIst\u00e9mu psychiatrick\u00e9mu pacientovi, ktor\u00fd u\u017e\u00edval a\u017e 5 liekov, som odp\u00edsal nasledovn\u00e9 na naprost\u00e9 zlyhanie psychiatri\u010dky:<\/strong>
\nOboje antipsychotik\u00e1 sa bij\u00fa v \u00fa\u010dinkoch na dopam\u00ednov\u00e9 receptory, ktor\u00e9 s\u00fa najviac d\u00f4le\u017eit\u00fdm faktorom pri schizofr\u00e9nii, Quetiap\u00edn im zni\u017euje aktivitu, Abilify zvy\u0161uje. Je kontraprodukt\u00edvne u\u017e\u00edva\u0165 lieky, ktor\u00fdm sa ich \u00fa\u010dinok vz\u00e1jomne vynuluje.<\/strong>
\nhttps:\/\/en.wikipedia.org\/wiki\/Quetiapine<\/a>
\nhttps:\/\/en.wikipedia.org\/wiki\/Aripiprazole<\/a>

Oboje antipsychotik\u00e1 a Coaxil (antidepres\u00edvum) zvy\u0161uj\u00fa aktivitu na seroton\u00ednov\u00e9 receptory. Aby a\u017e 3 lieky zvy\u0161ovali aktivitu seroton\u00ednov\u00fdm receptorom, tak to je dos\u0165 nebezpe\u010dn\u00e9. M\u00f4\u017ee sa to prejavi\u0165 nechu\u0165ou do jedla, fibril\u00e1ciami na srdci aj trval\u00fdmi probl\u00e9mami na srdci. \u010cudujem sa, \u017ee si v\u00f4bec e\u0161te medzi \u017eiv\u00fdmi.<\/strong>
\nhttps:\/\/en.wikipedia.org\/wiki\/Tianeptine<\/a>

Vysadi\u0165 Coaxil by som odpor\u00fa\u010dal, hne\u010f ako prv\u00fd. Mus\u00ed sa to ale zni\u017eova\u0165 postupne, kv\u00f4li opi\u00e1tov\u00fdm abstinen\u010dn\u00fdm pr\u00edznakom
\n(ide o v\u00fdnimo\u010dn\u00fd a jedin\u00fd druh antidepres\u00edva, ktor\u00fd p\u00f4sob\u00ed aj na opi\u00e1tov\u00e9 receptory).

U\u017e\u00edva\u0165 Quetiap\u00edn samotn\u00fd \u00faplne posta\u010d\u00ed, hoci m\u00f4\u017ee sa prejavi\u0165 aj nepr\u00edjemn\u00e9 ved\u013eaj\u0161ie \u00fa\u010dinky ako ospalos\u0165 a n\u00edzky krvn\u00fd tlak. To sa ale d\u00e1 vyrie\u0161i\u0165 selekt\u00edvnym inhib\u00edtorom sp\u00e4tn\u00e9ho vychyt\u00e1vania noradrenal\u00ednu. Quetiap\u00edn m\u00e1 aj antidepres\u00edvne \u00fa\u010dinky.
\nDepakine Chrono (kyselina valproov\u00e1 je rozumnej\u0161\u00edm a \u0161etrnnej\u0161ou alternat\u00edvou k sedat\u00edvam, p\u00f4sob\u00ed na GABA receptory) <\/em>je zasa ve\u013emi dobr\u00e9 antidepres\u00edvum, to ist\u00e9 ako sedat\u00edvum, len bez vytv\u00e1ranie r\u00fdchlej tolerancie.
\nTak\u017ee odpor\u00fa\u010dal by som iba 3 lieky Quetiap\u00edn, Depakine Chrono a hocijak\u00fd liek zo skupiny selekt\u00edvny inhib\u00edtor sp\u00e4tn\u00e9ho vychyt\u00e1vania noradrenal\u00ednu (tie\u017e je to psychiatrick\u00fd liek), zablokuje to ved\u013eaj\u0161ie \u00fa\u010dinky Quetiap\u00ednu.
\nhttps:\/\/en.wikipedia.org\/wiki\/Valproate<\/a>

Akineton len zhor\u0161\u00ed pr\u00edznaky schizofr\u00e9nie, je to \u00faplne zbyto\u010dn\u00e9 u\u017e\u00edva\u0165, m\u00e1\u0161 z toho such\u00fd jazyk, bolestiv\u00fd poh\u013ead v o\u010diach na svetlo, \u0165a\u017ek\u00e9 tr\u00e1venie a vysok\u00fa telesn\u00fa teplotu. Akineton m\u00f4\u017ee\u0161 vysadi\u0165 u\u017e dnes, ni\u010d sa nestane, \u017eiadne abstinen\u010dn\u00e9 pr\u00edznaky.
\n(Akineton je parkinsonick\u00fd liek, psychiatri\u010dka tento liek predp\u00edsala pravdepodobne z d\u00f4vodu ved\u013eaj\u0161\u00edch \u00fa\u010dinkov oboch antipsychot\u00edk, preto\u017ee tam m\u00f4\u017eu nasta\u0165 dyst\u00f3nia \u010do s\u00fa podobn\u00e9 pr\u00edznaky ako parkinsonizmus. Av\u0161ak zrovna pri kombin\u00e1cii t\u00fdchto dvoch antipsychot\u00edk, ke\u010f si vz\u00e1jomne blokuj\u00fa p\u00f4sobenie na dopam\u00ednov\u00e9 receptory,bolo predpisovanie tohoto lieku \u00faplne zbyto\u010dn\u00e9!! Dan\u00e1 psychiatri\u010dka nepochopila ani \u00faplne najz\u00e1kladnej\u0161ie \u00fa\u010dinky liekov,<\/strong> ktor\u00e9 sa daj\u00fa pre\u010d\u00edta\u0165 aj v tom jedinom a ve\u013emi biednom Slovenskom lek\u00e1rskom odbornom \u010dasopise Solen).

Niektor\u00ed psychiatri s\u00fa mo\u017eno aspo\u0148 tro\u0161ku rozumnej\u0161\u00ed, ale drviv\u00e1 v\u00e4\u010d\u0161ina psychiatrov sa naozaj nezorumie liekom ktor\u00e9 predpisuj\u00fa.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"Slab\u00e9 miesta psychiatrie a predpisovanie liekov","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-5","post","type-post","status-publish","format-standard","hentry","category-farmakologia"],"_links":{"self":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/5","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/comments?post=5"}],"version-history":[{"count":0,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/5\/revisions"}],"wp:attachment":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/media?parent=5"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/categories?post=5"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/tags?post=5"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}