Điều trị đơn trị liệu guanfacine cho ADHD/ASD kèm theo hội chứng Tourette: báo cáo ca bệnh

Springer Science and Business Media LLC - Tập 18 - Trang 1-5 - 2019
Kosuke Okazaki1, Kazuhiko Yamamuro1, Junzo Iida2, Toshifumi Kishimoto1
1Department of Psychiatry, Nara Medical University School of Medicine, Nara, Japan
2Faculty of Nursing, Nara Medical University School of Medicine, Kashihara, Japan

Tóm tắt

Bệnh nhân mắc hội chứng tăng động giảm chú ý (ADHD) thường gặp các rối loạn đi kèm, chẳng hạn như rối loạn phổ tự kỷ (ASD) và hội chứng Tourette (TS). Mặc dù các liệu pháp dược lý hiệu quả trong việc điều trị ADHD, nhưng chúng có thể gây ra nhiều tác dụng phụ khác nhau. Do đó, việc lựa chọn một phương pháp điều trị dược lý hiệu quả và được dung nạp tốt cho bệnh nhân mắc ADHD/ASD kèm theo TS là rất quan trọng. Chúng tôi báo cáo trường hợp của một cậu bé 10 tuổi mắc ADHD/ASD kèm theo TS, được điều trị bằng guanfacine (GUAN). Cậu bé đã trải qua một số tác dụng phụ của atomoxetine (ATX) và methylphenidate (MPH) trước khi được điều trị bằng GUAN. Trong trường hợp này, các triệu chứng của ADHD cũng như triệu chứng tic đã được cải thiện nhờ điều trị bằng GUAN. GUAN có thể là một phương pháp điều trị hiệu quả và được dung nạp tốt cho các bệnh nhân mắc ADHD/ASD kèm theo TS, những người gặp phải tác dụng phụ của ATX và MPH.

Từ khóa

#ADHD #rối loạn phổ tự kỷ #hội chứng Tourette #guanfacine #điều trị dược lý

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