Psychotropic medication in chronic spinal disorders

The Spine Journal : Official Journal of the North American Spine Society
P Polatin, Jeffrey Dersh

Abstract

Optimal treatment of nonmalignant chronic spinal disorders (CSDs) may require the use of one or more nonopioid psychotropic medications. Vast research literature has documented high rates of psychiatric disorders in patients with CSDs. Psychotropic medications are one type of effective treatment for these disorders. Many medications of this type are also used as adjuvants to primary analgesic medications. Physicians treating CSDs may have little training and experience in prescribing psychotropic medications. Further, they may possess limited information about the efficacy of these types of medications in treating psychiatric disorders comorbid with CSDs or as adjunctive analgesics. Because of the wide variety (antidepressants, anxiolytics, sleep-promoting agents, anticonvulsants, neuroleptics, muscle relaxants) and numerous indications for psychiatric medications, a concise review of the use of psychotropic medications with CSD patients is offered for the spine specialist. A systematic review of the contemporary English literature on psychotropic medications in the CSD population. A computerized search of MEDLINE was performed on all English literature published from 1982 to August 2002. Psychotropic medications have been foun...Continue Reading

Citations

Jun 7, 2005·Current Psychiatry Reports·John Sharp, Brian Keefe
Jul 6, 2005·The Spine Journal : Official Journal of the North American Spine Society·Jerome Schofferman
Dec 2, 2005·Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders : Official Publication of the World Federation of Neurology, Research Group on Motor Neuron Diseases·Mamede de CarvalhoMichael Swash

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