The Alpha-2 adrenergic receptor agonist with Delirium

Authors

  • Janjira Sakaroonchai Faculty of Medicine Siriraj Hospital, Mahidol University
  • Suphatra Punyanirun Faculty of Medicine Siriraj Hospital, Mahidol University

Abstract

Delirium is a common clinical syndrome was found in in-patients which cause by acute brain dysfunction characterized by cognitive disorder and other behavioral problems. This problem can prolong the length of hospital stays or increase the cost of care. Antipsychotics are the first-line recommendation for delirium treatment, but the usage has been limited because of side effects such as extrapyramidal side effects, drug abuse, and respiratory depression. In another choice, alpha-2 adrenergic receptor agonists have been used as alternative agents for delirium treatment because they have sedative and analgesic effects and may decrease some side effects, especially respiratory suppression and drug abuse. Moreover, they are also able to reduce blood pressure too. However, the patients receiving their agent should be closely followed for hypotension and bradycardia.

Author Biographies

Janjira Sakaroonchai , Faculty of Medicine Siriraj Hospital, Mahidol University

Department of Pharmacy

Suphatra Punyanirun, Faculty of Medicine Siriraj Hospital, Mahidol University

Department of Pharmacy

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Published

2023-04-30