Recommendations about the Use of Psychotropic Medications during the COVID-19 Pandemic

INTRODUCTION: The COVID-19 pandemic is a particularly relevant threat to mentally ill patients, and it constitutes a new challenge for health care providers. To the best of our knowledge, there is not any embracing published review about the use of psychotropic drugs during the COVID-19 pandemic.

MATERIALS AND METHODS: Non-systematic literature review. A search in the PubMed database was performed, with the terms 'psychotropic drugs', 'COVID-19', 'psychiatry' and 'pandemic'. Consensus and clinical guidelines about psychotropic drugs and COVID-19 approach, published by scientific societies, governmental entities and drug regulatory agencies were included.

RESULTS AND DISCUSSION: We present the recommendations about the use of psychotropic drugs during the COVID-19 pandemic, in the outpatient and inpatient settings. The treatment of affective bipolar disorder and schizophrenia have now added increased difficulties. Some psychotropic drugs interfere with the pathophysiology of the novel coronavirus infection and they could interact with the drugs used in the treatment of COVID-19. Some patients will need pharmacological interventions due to the presence of delirium. Smoking cessation changes the serum levels of some psychotropic drugs and may influence their use.

CONCLUSION: The COVID-19 pandemic has created new challenges in clinical practice. Psychiatric patients are a vulnerable population and often a careful clinical, laboratorial and electrocardiographic evaluation may be needed, particularly in those diagnosed with COVID-19. The regular treatment of mentally ill patients with COVID-19 presents increased complexity.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Acta medica portuguesa - 33(2020), 10 vom: 01. Okt., Seite 693-702

Sprache:

Portugiesisch

Weiterer Titel:

Recomendações sobre a Utilização de Fármacos Psicotrópicos durante a Pandemia COVID-19

Beteiligte Personen:

Andrade, Gabriela [VerfasserIn]
Simões do Couto, Frederico [VerfasserIn]
Câmara-Pestana, Luis [VerfasserIn]

Links:

Volltext

Themen:

12794-10-4
40D3SCR4GZ
614OI1Z5WI
Antiviral Agents
Benzodiazepines
Buprenorphine
COVID-19
Clozapine
Delayed-Action Preparations
J60AR2IKIC
Journal Article
Lithium Compounds
Methadone
Narcotic Antagonists
Pandemics
Practice Guideline
Psychiatry
Psychotropic Drugs
Review
Smoking Cessation Agents
UC6VBE7V1Z
Valproic Acid

Anmerkungen:

Date Completed 18.11.2020

Date Revised 18.12.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.20344/amp.13976

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312819641