Attention deficit hyperactivity disorder: pharmacotherapy in special situations

Zavadenko N.N.

doi:https://doi.org/10.17116/jnevro202512510159

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Резюме / Abstract:

Синдром дефицита внимания и гиперактивности (СДВГ) является распространенной формой расстройств нервно-психического развития. Помимо основных симптомов, у пациентов с СДВГ часто наблюдаются проявления нейрокогнитивной дисфункции (дефицит управляющих функций, речи, низкий темп когнитивной деятельности), а примерно у ²/₃ детей с установленным СДВГ диагностируется еще одно коморбидное расстройство. При выборе фармакотерапии предпочтительны препараты с положительным влиянием на симптомы как СДВГ, так и коморбидных расстройств. К их числу относится атомоксетина гидрохлорид. Рассматриваются возможности применения атомоксетина при коморбидности СДВГ с деструктивным поведением, тревожными расстройствами, нарушениями сна, ночным энурезом, тиками, заиканием, дислексией, а также влияние атомоксетина на показатели низкого когнитивного темпа, управляющих функций. Обсуждаются пути оптимального дозирования и минимизации нежелательных явлений при лечении атомоксетином.

Ключевые слова / Keywords:

синдром дефицита внимания и гиперактивности

атомоксетин

коморбидность

деструктивное поведение

тревожные расстройства

нарушения сна

дислексия

низкий когнитивный темп

управляющие функции

Авторы / Authors:

Заваденко Н.Н.

ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России

ORCID: 0000-0003-0103-7422

Дата поступления:

21.08.2025

Дата принятия в печать:

15.09.2025

Закрыть метаданные

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