Psychotropic drug therapy in patients in the intensive care unit - usage, adverse effects and drug interactions: a review

Abstract

Mojtaba Shafiekhani, Mahtabalsadat Mirjalili, Afsaneh Vazin Department of Clinical Pharmacy, Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran Abstract: Managing psychological problems in patients admitted to intensive care unit (ICU) is a big challenge, requiring pharmacological interventions. On the other hand, these patients are more prone to side effects and drug interactions associated with psychotropic drugs use. Benzodiazepines (BZDs), antidepressants, and antipsychotics are commonly used in critically ill patients. Therefore, their therapeutic effects and adverse events are discussed in this study. Different studies have shown that non-BZD drugs are preferred to BZDs for agitation and pain management, but antipsychotic agents are not recommended. Also, it is better not to start antidepressants until the patient has fully recovered. However, further investigations are required for the use of psychotropic drugs in ICUs. Keywords: critical care, delirium, sedation, antipsychotics, benzodiazepines

Keywords

• Critical Care
• Delirium
• Sedation
• Antipsychotics
• Benzodiazepines