Trastornos del ánimo, psicofármacos y tiroides

For more than 40 years thyroid hormones and mood disorders have been associated. Some psychiatric symptoms are produced by thyroid illnesses and there is a frequent association of thyroid dysfunction with mood disorders. Therefore, routine thyroid function assessment in patients with mood disorders...

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Autores principales: Quiroz L,Danilo, Gloger K,Sergio, Valdivieso F,Sergio, Ivelic Z,José, Fardella B,Carlos
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2004
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001100012
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spelling oai:scielo:S0034-988720040011000122005-01-12Trastornos del ánimo, psicofármacos y tiroidesQuiroz L,DaniloGloger K,SergioValdivieso F,SergioIvelic Z,JoséFardella B,Carlos Mood disorders Psychopharmacology For more than 40 years thyroid hormones and mood disorders have been associated. Some psychiatric symptoms are produced by thyroid illnesses and there is a frequent association of thyroid dysfunction with mood disorders. Therefore, routine thyroid function assessment in patients with mood disorders and the treatment of sub-clinical thyroid dysfunctions is recommended. The usefulness of adding thyroid hormones to antidepressive treatment in euthyroid patients to obtain a potentiation effect has been probed repeatedly. The most common strategy is potentiation with T3, but high doses of T4 have been also used in patients with resistant depression. Thyroid hormones exert their action in the central nervous system through a variety of mechanisms: modulation of gene expression of several groups of proteins, some of them with known physiopathological implications in mood disorders and the influence over serotonin and noradrenergic neurotransmission, known to be one of the modes of action of antidepressants. Finally, it is also important to stress the complex relationship between psychiatric drugs, deiodinases and thyroid hormones, that can potentially help to understand the mechanisms of action of these drugsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.11 20042004-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001100012es10.4067/S0034-98872004001100012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Mood disorders
Psychopharmacology
spellingShingle Mood disorders
Psychopharmacology
Quiroz L,Danilo
Gloger K,Sergio
Valdivieso F,Sergio
Ivelic Z,José
Fardella B,Carlos
Trastornos del ánimo, psicofármacos y tiroides
description For more than 40 years thyroid hormones and mood disorders have been associated. Some psychiatric symptoms are produced by thyroid illnesses and there is a frequent association of thyroid dysfunction with mood disorders. Therefore, routine thyroid function assessment in patients with mood disorders and the treatment of sub-clinical thyroid dysfunctions is recommended. The usefulness of adding thyroid hormones to antidepressive treatment in euthyroid patients to obtain a potentiation effect has been probed repeatedly. The most common strategy is potentiation with T3, but high doses of T4 have been also used in patients with resistant depression. Thyroid hormones exert their action in the central nervous system through a variety of mechanisms: modulation of gene expression of several groups of proteins, some of them with known physiopathological implications in mood disorders and the influence over serotonin and noradrenergic neurotransmission, known to be one of the modes of action of antidepressants. Finally, it is also important to stress the complex relationship between psychiatric drugs, deiodinases and thyroid hormones, that can potentially help to understand the mechanisms of action of these drugs
author Quiroz L,Danilo
Gloger K,Sergio
Valdivieso F,Sergio
Ivelic Z,José
Fardella B,Carlos
author_facet Quiroz L,Danilo
Gloger K,Sergio
Valdivieso F,Sergio
Ivelic Z,José
Fardella B,Carlos
author_sort Quiroz L,Danilo
title Trastornos del ánimo, psicofármacos y tiroides
title_short Trastornos del ánimo, psicofármacos y tiroides
title_full Trastornos del ánimo, psicofármacos y tiroides
title_fullStr Trastornos del ánimo, psicofármacos y tiroides
title_full_unstemmed Trastornos del ánimo, psicofármacos y tiroides
title_sort trastornos del ánimo, psicofármacos y tiroides
publisher Sociedad Médica de Santiago
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001100012
work_keys_str_mv AT quirozldanilo trastornosdelanimopsicofarmacosytiroides
AT glogerksergio trastornosdelanimopsicofarmacosytiroides
AT valdiviesofsergio trastornosdelanimopsicofarmacosytiroides
AT iveliczjose trastornosdelanimopsicofarmacosytiroides
AT fardellabcarlos trastornosdelanimopsicofarmacosytiroides
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