Patología dual en trastornos de ansiedad: Recomendaciones en el tratamiento farmacológico

Pilar Alejandra Sáiz Martínez, Pilar Alejandra Sáiz Martínez, Pilar Alejandra Sáiz Martínez, Luis Jimenez Treviño, Luis Jimenez Treviño, Eva Mª Díaz Mesa, Eva Mª Díaz Mesa, Mª Paz García-Portilla González, Mª Paz García-Portilla González, Mª Paz García-Portilla González, Pedro Marina González, Pedro Marina González, Susana Al-Halabí, Susana Al-Halabí, Néstor Szerman, Néstor Szerman, Julio Bobes García, Julio Bobes García, Julio Bobes García, Pedro Ruiz

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Anxiety disorders and substance use disorders are highly comorbid (between 18% and 37%), and such comorbidity complicates treatment and worsens prognosis (including higher suicide risk). There are not many research works on the specific pharmacologic treatment of dual comorbid anxiety disorders. Most authors recommend a simultaneous approach of both, anxiety and substance use, disorders. Research data on pharmacotherapy suggest that psychotropics used in the treatment of anxiety disorders are also effective in dual diagnosis. SSRIs are considered first-line therapy in the treatment of dual anxiety while benzodiacepines should be avoided. New generation antiepileptic have shown efficacy in case series and open label studies in the latest years, thus being a promising treatment option for dual comorbid anxiety disorders, specially pregabalin in generalized anxiety disorder.

Original languageEnglish (US)
Article numberA254
Pages (from-to)254-274
Number of pages21
JournalAdicciones
Volume26
Issue number3
DOIs
StatePublished - Jan 1 2014

Keywords

  • Anxiety disorders
  • Comorbidity
  • Dual diagnosis
  • Recommendations
  • Therapeutics

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

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    Sáiz Martínez, P. A., Sáiz Martínez, P. A., Sáiz Martínez, P. A., Treviño, L. J., Treviño, L. J., Díaz Mesa, E. M., Díaz Mesa, E. M., García-Portilla González, M. P., García-Portilla González, M. P., García-Portilla González, M. P., González, P. M., González, P. M., Al-Halabí, S., Al-Halabí, S., Szerman, N., Szerman, N., García, J. B., García, J. B., García, J. B., & Ruiz, P. (2014). Patología dual en trastornos de ansiedad: Recomendaciones en el tratamiento farmacológico. Adicciones, 26(3), 254-274. [A254]. https://doi.org/10.20882/adicciones.7