Gyógyszerészet 2020. április

2020. április TESZT

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Congressus Pharmaceuticus Hungaricus XVI.

Congressus Pharmaceuticus Hungaricus XVI. előzetes program

Továbbképző közlemények

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Kiss B., Laszlovszky I., Krámos B.: Dopamine D3 receptors and antipsychotics – Aspects of mechanism of action and pharmacological properties – part I.

Disturbance of brain dopaminergic system is thought to play major role in the symptoms of schizophrenia (positive, negative symptoms and cognitive deficits). Current antipsychotics display affinities to wide range of receptors but their primary target in schizophrenia therapy are thought to be dopamine D2 receptors. Dopamine D3 receptors which belong to the D2-type dopamine receptor family have special distribution in the brain and play important roles in several CNS functions. Dopamine D2– and D3-receptors demonstrate high degree of structural and functional similarity. Most of the antipsychotics display similar in vitro affinity for dopamine D2 as well as for dopamine D3 receptors. Compounds (antagonists, partial agonists) with high affinity and selectivity toward D3 receptors were developed but did not result in clinically useful antipsychotics. Current antipsychotics demonstrate dopamine D2 occupancy in the living brain but only few of them (e.g.
cariprazine and blonanserin) produced meaningful dopamine D3 receptor occupancy. We pointed out some factors (e.g. in vitro affinity for D3 receptors, endogenous concentration of dopamine, in vivo antagonism at dopamine D2 receptors) which may explain the lack of D3 occupancy of some antipsychotics. Antipsychotics with high and preferential affinity for D3 receptors, beside their affinity for dopamine D2 receptors (exemplified with cariprazine), may possess profile useful for the treatment of not only schizophrenia but for other psychiatric conditions, too. 

IRODALOM

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Fritz Á., Tóth M.D., Susánszky É.: Pharmacists as gate-keepers in recognizing depression and preventing suicide – part I.

Hungary has one of the highest suicide rates in the European Union. Since depression is a major risk factor for suicide, the detection and treatment of this mental disorder is an effective way of preventing suicidal behavior. In daily practice, pharmacists often meet patients who are at higher risk of mental health problems. Therefore, as gatekeepers, they can play a key role in preventing depression and suicide. The first part of our article draws pharmacists’ attention to depression and suicide to enable better recognition of verbal and non-verbal signs of these disorders. In the second part, the results of a pilot study are presented. The purpose of the study was to assess the level of stigmatization among pharmacists against depression and their confidence in communication with depressed patients.

Brantner Antal Ifjúsági Nívódíj Pályázat

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Harda K.*, Halmos G.**: What all women are afraid of – Polycystic ovary syndrome

Polycystic ovarian syndrome (PCOS) is the most common cause of gynecological endocrine disorder and is today the leading cause of infertility in women of childbearing age. Because of its name, it is primarily ovarian disease, but due to its diverse symptoms, it can affect multiple organs, requiring complex treatment.

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Becskeházi-Tar J.: The emergency preparadness model for hospital pharmacy based on the evaluation of the COVID-19 epidemic preparedness experience