中国全科医学 ›› 2022, Vol. 25 ›› Issue (33): 4099-4105.DOI: 10.12114/j.issn.1007-9572.2022.0532

• 指南·共识 •    下一篇

盐酸曲唑酮缓释剂临床应用专家建议

潘集阳1,*(), 方贻儒2, 胡少华3, 陆峥4, 宿长军5, 唐向东6, 王涛7, 王文强8, 姚志剑9, 袁勇贵10, 于欢11, 詹淑琴12, 赵忠新13, 张许来14, 张玲15, 李凌江16,*()   

  1. 1.510000 广东省广州市,暨南大学附属第一医院
    2.200000 上海市精神卫生中心
    3.310000 浙江省杭州市,浙江大学医学院附属第一医院
    4.200000 上海市,同济大学附属同济医院
    5.710000 陕西省西安市,空军军医大学第二附属医院
    6.610000 四川省成都市,四川大学华西医院
    7.430000 湖北省武汉市,华中科技大学同济医学院附属协和医院
    8.361000 福建省厦门市精神卫生中心
    9.210000 江苏省南京市,南京医科大学附属脑科医院
    10.210000 江苏省南京市,东南大学附属中大医院
    11.200000 上海市,复旦大学附属华山医院
    12.100000 北京市,首都医科大学附属宣武医院
    13.200000 上海市,海军军医大学第二附属医院
    14.230000 安徽省合肥市,安徽省精神卫生中心
    15.530000 广西壮族自治区南宁市第五人民医院
    16.410000 湖南省长沙市,中南大学湘雅二医院
  • 收稿日期:2022-07-11 修回日期:2022-08-12 出版日期:2022-11-20 发布日期:2022-08-25
  • 通讯作者: 潘集阳, 李凌江
  • 潘集阳,方贻儒,胡少华,等.盐酸曲唑酮缓释剂临床应用专家建议[J].中国全科医学,2022,25(33):4099-4105. [www.chinagp.net] 执笔人:潘集阳,主任医师,暨南大学附属第一医院;E-mail:

Expert Recommendations for Clinical Application of Trazodone Hydrochloride Sustained Release

PAN Jiyang1,*(), FANG Yiru2, HU Shaohua3, LU Zheng4, SU Changjun5, TANG Xiangdong6, WANG Tao7, WANG Wenqiang8, YAO Zhijian9, YUAN Yonggui10, YU Huan11, ZHAN Shuqin12, ZHAO Zhongxin13, ZHANG Xulai14, ZHANG Ling15, LI Lingjiang16,*()   

  1. 1.The First Affiliated Hospital of Jinan University, Guangzhou 510000, China
    2.Shanghai Mental Health Center, Shanghai 200000, China
    3.The First Affiliated Hospital, Zhejiang University, School of Medicine, Hangzhou 310000, China
    4.Tongji Hospital of Tongji University, Shanghai 200000, China
    5.The Second Affiliated Hospital of Air Force Medical University, Xi'an 710000, China
    6.West China Hospital Of Sichuan University, Chengdu 610000, China
    7.Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
    8.Xiamen Mental Health Center, Xiamen 361000, China
    9.The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210000, China
    10.Zhongda Hospital Affilicated of Southeast University, Nanjing 210000, China
    11.Huashan Hospital Affiliated to Fudan University, Shanghai 200000, China
    12.Xuanwu Hospital Affiliated to Capital University of Medical Sciences, Beijing 100000, China
    13.The Second Affiliated Hospital of Naval Medical University, Shanghai 200000, China
    14.Mental Health Center in Anhui Province, Hefei 230000, China
    15.Naning Fifth People's Hospital, Nanning 530000, China
    16.The Second Xiangya Hospital of Central South University, Changsha 410000, China
  • Received:2022-07-11 Revised:2022-08-12 Published:2022-11-20 Online:2022-08-25
  • Contact: PAN Jiyang, LI Lingjiang
  • About author:
    PAN J Y, FANG Y R, HU S H, et al. Expert recommendations for clinical application of trazodone hydrochloride sustained release[J]. Chinese General Practice, 2022, 25 (33) : 4099-4105. Writer: PAN Jiyang, Chief physician, the First Affiliated Hospital of Jinan University; E-mail:

摘要: 盐酸曲唑酮缓释剂作为一种多受体结合药物,不同剂量可发挥不同的药理作用、改善多种精神障碍。为进一步规范盐酸曲唑酮缓释剂的临床应用,本专家撰写组整合了国内外临床试验、临床实践指南、处方指南及临床用药经验,撰写了此临床应用专家建议。本文提到盐酸曲唑酮缓释剂在临床上适用于抑郁症、各种原因引起的失眠,还应用于广泛性焦虑障碍、性功能障碍、创伤后应激障碍、物质依赖和戒断反应及强迫障碍,并说明了药物用法用量、相互作用,以及特殊人群使用的注意事项,以期为临床医生提供科学、全面的用药指导。

关键词: 精神障碍, 抑郁, 焦虑, 失眠症, 曲唑酮, 指南, 治疗应用, 盐酸曲唑酮缓释剂

Abstract:

Trazodone hydrochloride sustained -release, as a multi-receptor binding drug, can exert different pharmacological effects at different doses and can improve a variety of psychiatric disorders. To further standardize the clinical application of trazodone hydrochloride sustained release, the expert writing group integrated domestic and international clinical trials, clinical practice guidelines, prescribing guidelines and clinical medication experience to prepare this expert recommendation for clinical application. This article mentions that trazodone hydrochloride sustained release is clinically applicable to depression, insomnia caused by various reasons, and also applied to generalized anxiety disorder, sexual dysfunction, post-traumatic stress disorder, substance dependence and withdrawal reactions and obsessive-compulsive disorder, and describes drug dosage, interactions, and precautions for use in special populations, with a view to providing clinicians with scientific and comprehensive medication guidance.

Key words: Mental disorders, Depression, Anxiety, Insomnia, Trazodone, Guidebook, Therapeutic uses, Trazodone hydrochloride sustained release agent