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2021 | OriginalPaper | Hoofdstuk

19. Psychofarmaca en de behandeling van slaapstoornissen

Auteurs : drs. Maaike van Veen, dr. Jeanine Kamphuis, dr. Rixt Riemersma-van der Lek

Gepubliceerd in: Slaapstoornissen in de psychiatrie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Niet-medicamenteuze interventies zijn bij slaapstoornissen van groot belang en vaak de primaire behandelstap. Toch wordt om diverse redenen frequent gekozen voor inzet van medicatie; bijvoorbeeld door onvoldoende effect van de gekozen interventies of de noodzaak zo snel mogelijk slaapverbetering te induceren. Dan is kennis over de werking van en evidentie voor het gebruiken van diverse middelen voor het verbeteren van slaap noodzakelijk. Geregistreerde slaapmiddelen, zoals benzodiazepinen, zijn effectief op de korte termijn, maar kennen aanzienlijke nadelen. Off-labelgebruik van diverse psychofarmaca, met als doel slaapverbetering, is voor een aantal middelen goed verdedigbaar gezien de effecten op de slaaparchitectuur, maar ook deze hebben alle hun eigen (bijwerkingen)profiel. De invloed op de rijvaardigheid moet standaard besproken worden. Indien langdurig gebruikte slaapmiddelen afgebouwd moeten worden, zijn belangrijke uitgangspunten dit langzaam te doen en intensief te begeleiden. De voorschrijver van psychiatrische medicatie dient zich verder bewust te zijn van slaapverstorende bijwerkingen van diverse psychofarmaca.
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Metagegevens
Titel
Psychofarmaca en de behandeling van slaapstoornissen
Auteurs
drs. Maaike van Veen
dr. Jeanine Kamphuis
dr. Rixt Riemersma-van der Lek
Copyright
2021
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2524-5_19