{"id":6089,"date":"2020-07-22T21:39:07","date_gmt":"2020-07-22T20:39:07","guid":{"rendered":"https:\/\/psicopico.com\/?p=6089"},"modified":"2020-07-22T22:06:43","modified_gmt":"2020-07-22T21:06:43","slug":"psicofarmacos-y-su-comorbilidad-con-otras-patologias","status":"publish","type":"post","link":"https:\/\/psicopico.com\/en\/psicofarmacos-y-su-comorbilidad-con-otras-patologias\/","title":{"rendered":"(Espa\u00f1ol) Psicof\u00e1rmacos y su comorbilidad con otras patolog\u00edas"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-en\">Sorry, this entry is only available in <a href=\"https:\/\/psicopico.com\/es\/wp-json\/wp\/v2\/posts\/6089\" class=\"qtranxs-available-language-link qtranxs-available-language-link-es\" title=\"Espa\u00f1ol\">Espa\u00f1ol<\/a>. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language.<\/p>En medicina cobra vital importancia la correcta prescripci\u00f3n de los f\u00e1rmacos o psicof\u00e1rmacos correctos para aliviar o corregir los problemas de salud concretos, pero tambi\u00e9n considerar los posibles efectos secundarios y c\u00f3mo puede afectar la comorbilidad de determinadas patolog\u00edas con, por ejemplo, algunos trastornos psiqui\u00e1tricos.<\/p>\n<p>Los m\u00e9dicos especialistas en farmacolog\u00eda y en <strong>psicofarmacolog\u00eda<\/strong> deben conocer esta realidad y saber que existe un porcentaje muy elevado de pacientes m\u00e9dicos con problemas psiqui\u00e1tricos. Se estima que un 30% para pacientes ambulatorios y de casi el 50%\u00a0 en pacientes hospitalizados (Silva, 2017). Estos riesgos se ver\u00e1n cada vez m\u00e1s minimizados con la cada vez mejor formaci\u00f3n t actualizaci\u00f3n tanto de los profesionales sanitarios especializados y farmac\u00e9uticos como de la correcta <a href=\"https:\/\/www.itep.es\/ciclos-formativos\/medio\/tecnico-farmacia-parafarmacia\">preparaci\u00f3n en la gesti\u00f3n de farmacia<\/a> para que los f\u00e1rmacos lleguen en las dosis correctas para cada caso particular de la manera m\u00e1s eficiente.<\/p>\n<h2>\u00bfQu\u00e9 es la psicofarmacolog\u00eda?<\/h2>\n<p>La <strong>psicofarmacolog\u00eda<\/strong> es la especialidad cient\u00edfica que estudia el efecto que tienen determinados f\u00e1rmacos sobre los neurotransmisores cerebrales que afectan a nuestra conducta o provocan determinados trastornos ps\u00edquicos y mentales.<\/p>\n<p>La terapia con psicof\u00e1rmacos suele recomendarse combinada el tratamiento conjunto de un psic\u00f3logo cl\u00ednico para realizar un seguimiento de la evoluci\u00f3n del paciente con la medicaci\u00f3n recetada.<\/p>\n<h2>\u00bfC\u00f3mo act\u00faan los psicof\u00e1rmacos?<\/h2>\n<p>El objetivo de los psicof\u00e1rmacos es modificar los efectos de los neurotransmisores cerebrales bien reduciendo su concentraci\u00f3n o bien bloqueando los receptores sobre los que intervienen para as\u00ed conseguir un equilibrio que mejore el estado mental del paciente. Pueden actuar tanto a nivel de la corteza cerebral como en estructuras encef\u00e1licas m\u00e1s profundas llegando a controlar\u00a0 o incluso curar algunos s\u00edntomas de los trastornos mentales.<\/p>\n<p>&gt;&gt; Art\u00edculo relacionado: <a href=\"https:\/\/psicopico.com\/porque-tienen-ese-color-los-medicamentos-dorar-pildora-percepcion-farmacos-medicamentos\/\">\u00bfPor qu\u00e9 tienen diferentes colores los medicamentos?<\/a><\/p>\n<h2>Tipos de psicof\u00e1rmacos<\/h2>\n<p>Para cada patolog\u00eda se necesita un psicof\u00e1rmaco espec\u00edfico, por lo que se dividen en cuatro grandes grupos principales (entre par\u00e9ntesis algunos de sus principales usos):<\/p>\n<ol>\n<li><strong>Neurol\u00e9pticos o antipsic\u00f3ticos<\/strong> (psicosis, fases man\u00edaco-depresivas, psicosis t\u00f3xicas, etc.)<\/li>\n<li><strong>Ansiol\u00edticos y sedantes<\/strong> (ansiedad, insomnio, etc.)<\/li>\n<li><strong>Antidepresivos<\/strong> (depresi\u00f3n).<\/li>\n<li><strong>Estabilizadores del estado de \u00e1nimo<\/strong> o antirrecurrenciales (trastornos del \u00e1nimo, bipolaridad, trastorno l\u00edmite de la personalidad, etc.)<\/li>\n<\/ol>\n<h2>Psicof\u00e1rmacos con menor riesgo seg\u00fan la patolog\u00eda m\u00e9dica<\/h2>\n<p>Como ya avanzamos, la comorbilidad entre patolog\u00edas mentales y otras patolog\u00edas m\u00e9dicas se supone entre un 30% y 50% dependiendo de si los pacientes son ambulatorios y hospitalizados. Es una probabilidad demasiado alta como para no tenerla en cuenta a la hora de prescribir medicaci\u00f3n para unos y otros. Los casos m\u00e1s frecuentes son los casos asociados a trastornos de ansiedad y depresi\u00f3n (Silva, 2017).<\/p>\n<p>Un estudio de la Universidad de Chile de 2017 se vincula esta comorbilidad m\u00e1s concretamente en un 20% en pacientes de cardiolog\u00eda, un 25% de nefrolog\u00eda y un 30% con patolog\u00edas hep\u00e1ticas.<\/p>\n<p>Seg\u00fan los datos de este estudio los <strong>psicof\u00e1rmacos con menor riesgo\u00a0<\/strong>en funci\u00f3n de estos tres tipos de patolog\u00edas m\u00e9dicas son los que siguen:<\/p>\n<h3>Patolog\u00eda hep\u00e1tica<\/h3>\n<ul>\n<li>Antidepresivos: ISRS (paroxetina, sertralina, escitalopram), ISRSN (desvenlafaxina)<\/li>\n<li>Antipsic\u00f3ticos: Haloperidol, sulpiride, amisulpride.<\/li>\n<li>Estabilizadores del \u00e1nimo: Litio<\/li>\n<li>Ansiol\u00edticos: Lorazepam.<\/li>\n<\/ul>\n<h3>Patolog\u00eda card\u00edaca<\/h3>\n<ul>\n<li>Antidepresivos: ISRS (escitalopram, sertralina)<\/li>\n<li>Antipsic\u00f3ticos: Haloperidol.<\/li>\n<li>Estabilizadores del \u00e1nimo: Valproato, carbamazepina, lamotrigina.<\/li>\n<li>Ansiol\u00edticos: Benzodiacepinas, zolpidem, buspirona.<\/li>\n<\/ul>\n<h3>Patolog\u00eda Renal<\/h3>\n<ul>\n<li>Antidepresivos: ISRS<\/li>\n<li>Antipsic\u00f3ticos: Haloperidol, olanzapina<\/li>\n<li>Estabilizadores del \u00e1nimo: Valproato, carbamazepina, lamotrigina.<\/li>\n<li>Ansiol\u00edticos: Lorazepam, zopiclona<\/li>\n<\/ul>\n<p>La complejidad que adquiere acertar con la mejor medicaci\u00f3n para el paciente exige que se siga investigando en este campo y actualiz\u00e1ndose por lo que lo que en estos estudios hoy se cita como m\u00e1s eficiente puede ser que en un futuro pr\u00f3ximo difieran tras revisi\u00f3n m\u00e1s ajustadas. Acuden siempre a profesionales sanitarios que tengan una base cient\u00edfica y receten bajo la misma los f\u00e1rmacos m\u00e1s adecuados para cada caso. En nuestro cerebro est\u00e1 la clave de nuestro bienestar, cuidemos de \u00e9l.<\/p>\n<p>_<\/p>\n<p>Referencias:<\/p>\n<p>Silva, H. (2017).\u00a0<em> Psicof\u00e1rmacos y patolog\u00eda m\u00e9dica<\/em>. Revista M\u00e9dica Cl\u00ednica Las Condes. 28(6) pp. 830-834. Recuperado de <a href=\"https:\/\/doi.org\/10.1016\/j.rmclc.2017.09.002\">https:\/\/doi.org\/10.1016\/j.rmclc.2017.09.002<\/a>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language.En medicina cobra vital importancia la correcta prescripci\u00f3n de los f\u00e1rmacos o psicof\u00e1rmacos correctos para aliviar o corregir los problemas de salud concretos, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6090,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[93],"tags":[35,337,578,577,78,79,11,195],"class_list":["post-6089","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud","tag-ansiedad-2","tag-depresion","tag-farmacos","tag-medicina","tag-psicofarmacologia","tag-psicofarmacos","tag-psicologia","tag-salud"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>(Espa\u00f1ol) Psicof\u00e1rmacos y su comorbilidad con otras patolog\u00edas - PsicoPico<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/psicopico.com\/en\/psicofarmacos-y-su-comorbilidad-con-otras-patologias\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"(Espa\u00f1ol) Psicof\u00e1rmacos y su comorbilidad con otras patolog\u00edas - PsicoPico\" \/>\n<meta property=\"og:description\" content=\"Sorry, this entry is only available in Espa\u00f1ol. 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