{"id":2428,"date":"2017-10-24T20:03:31","date_gmt":"2017-10-24T11:03:31","guid":{"rendered":"http:\/\/info.chirosonomanma.com\/?p=2428"},"modified":"2026-03-23T17:45:31","modified_gmt":"2026-03-23T08:45:31","slug":"is-there-any-point-in-increasing-the-dosage-of-antidepressants","status":"publish","type":"post","link":"https:\/\/chirosonomanma.com\/info\/is-there-any-point-in-increasing-the-dosage-of-antidepressants\/","title":{"rendered":"\u6297\u9b31\u85ac\u306e\u5897\u91cf\u306b\u610f\u5473\u306f\u3042\u308b\u306e\u304b\uff1f"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u6297\u3046\u3064\u85ac\u306f\u6700\u4f4e\u9650\u306e\u7528\u91cf\u304c\u52b9\u679c\u7684(\u671d\u65e5\u65b0\u805e\u3088\u308a)\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Pqqvv2ze0k4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>\u53cb\u4eba\u306e\u3046\u3064\u75c5\u304b\u3089\u306e\u56de\u5fa9\u3092\u307f\u3066\u3044\u3066\u3001\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u306e\u9053\u306b\u9032\u3093\u3060\u3053\u3068\u3082\u3042\u308a\u3001\u3046\u3064\u75c5\u3084\u6297\u3046\u3064\u85ac\u3078\u306e\u95a2\u5fc3\u306f\u4ed6\u306e\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30bf\u30fc\u3088\u308a\u3082\u5f37\u3044\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u8170\u75db\u3068\u3046\u3064\u75c5\u3068\u306e\u95a2\u9023\u3082\u6307\u6458\u3055\u308c\u3066\u304a\u308a\u3001\u4e00\u90e8\u306e\u6297\u3046\u3064\u85ac\u306f\u8170\u75db\u3078\u3082\u51e6\u65b9\u3055\u308c\u308b\u6642\u4ee3\u3002\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u306e\u81e8\u5e8a\u304b\u3089\u611f\u3058\u3066\u3044\u308b\u3053\u3068\u3082\u542b\u3081\u3066\u3001\u6297\u3046\u3064\u85ac\u306e\u5897\u91cf\u306b\u3064\u3044\u3066\u8a18\u4e8b\u306b\u3057\u3066\u307f\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u6c17\u3092\u4ed8\u3051\u3066\u3001\u6297\u3046\u3064\u85ac\u306e\u5897\u91cf<\/h2>\n\n\n\n<p>\u982d\u6253\u3061\u3067\u306f\u3042\u308b\u3082\u306e\u306e\u3001\u6297\u3046\u3064\u85ac\u306e\u58f2\u308a\u4e0a\u3052\u306f\u9ad8\u6c34\u6e96\u3092\u4fdd\u3063\u3066\u3044\u307e\u3059\u3002\u4e00\u822c\u7684\u306b\u306f\u843d\u3061\u8fbc\u3093\u3060\u6642\u306f\u7cbe\u795e\u79d1\u3001\u5fc3\u7642\u5185\u79d1\u2192\u85ac\u7269\u7642\u6cd5\u3000\u3068\u3044\u3046\u6d41\u308c\u306b\u306a\u308b\u306e\u304c\u73fe\u4ee3\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u308c\u306f\u305d\u308c\u3067\u3059\u304c\u3001\u5927\u5207\u306a\u306e\u306f\u521d\u56de\u306e\u51e6\u65b9\u3067\u52b9\u679c\u304c\u7121\u3044\u6642\u306b\u3069\u3046\u8003\u3048\u308b\u304b\u3002\u60a3\u8005\u3055\u3093\u306e\u4e88\u5099\u77e5\u8b58\u3068\u3057\u3066\u3082\u6301\u3063\u3066\u3044\u3066\u3082\u826f\u3044\u60c5\u5831\u3067\u3059\u3002<\/p>\n\n\n\n<p data-wp-context---core-fit-text=\"core\/fit-text::{&quot;fontSize&quot;:&quot;&quot;}\" data-wp-init---core-fit-text=\"core\/fit-text::callbacks.init\" data-wp-interactive data-wp-style--font-size=\"core\/fit-text::context.fontSize\" class=\"has-fit-text\">\u521d\u56de\u306e\u6297\u9b31\u85ac\u306b\u52b9\u679c\u304c\u7121\u3044\u4eba\u3001\u305d\u306e\u5f8c\u5897\u91cf\u3057\u3066\u3082\u52b9\u679c\u304c\u306a\u3057 \u7814\u7a76\u5831\u544a<\/p>\n\n\n<div class=\"wp-block-image size-full wp-image-2447\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"280\" height=\"185\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/2017\/10\/medications-257344_640.jpg\" alt=\"\u304a\u85ac\u306e\u5897\u91cf\u306f\u610f\u5473\u306a\u3044\u3067\u3059\u3088\" class=\"wp-image-2447\" style=\"width:142px;height:auto\"\/><figcaption class=\"wp-element-caption\">\u6297\u3046\u3064\u85ac\u3092\u5897\u3084\u3059\u306e\u306b\u610f\u5473\u306f\u306a\u3044<\/figcaption><\/figure>\n<\/div>\n\n\n<p>\u591a\u304f\u306e\u9b31\u75c5\u60a3\u8005\u306f\u3001\u3069\u3053\u306e\u56fd\u3067\u3082\u6297\u3046\u3064\u85ac\u5358\u72ec\u306e\u7642\u6cd5\u306b\u5341\u5206\u306b\u53cd\u5fdc\u3057\u306a\u3044\u3053\u3068\u306f\u591a\u3044\u3088\u3046\u3067\u3001\u3053\u308c\u306f\u65e5\u672c\u3060\u3051\u3058\u3083\u306a\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u3057\u3066\u6297\u3046\u3064\u85ac\u306e\u6f38\u5897\u3001\u9ad8\u7528\u91cf\u304c\u3057\u3070\u3057\u3070\u3069\u3053\u306e\u56fd\u3067\u3082\u884c\u308f\u308c\u308b\u305f\u3081\u3001\u30aa\u30fc\u30b9\u30c8\u30ea\u30a2\u306e\u533b\u79d1\u5927\u5b66\u3067\u4e8c\u91cd\u76f2\u691c\u7121\u4f5c\u70ba\u6bd4\u8f03\u8a66\u9a13\u306e\u30e1\u30bf\u89e3\u6790\u3092\u884c\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n<div class=\"wp-block-image wp-image-2010 size-medium\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"300\" height=\"201\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353-300x201.jpg\" alt=\"\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\" class=\"wp-image-2010\" style=\"aspect-ratio:1.492653346808676;width:212px;height:auto\" srcset=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353-300x201.jpg 300w, https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353.jpg 652w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\">\u30e1\u30bf\u5206\u6790\u3067\u3059\u304b\u3089\u6700\u4e0a\u7d1a\u306e\u7814\u7a76\u306a\u3093\u3067\u3059<\/figcaption><\/figure>\n<\/div>\n\n\n<p>1208\u4f8b\u3067\u691c\u8a3c\u3002\u85ac\u5264\u306e\u5185\u8a33\u306f<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-check_list -list-under-dashed\">\n<li>\u30d5\u30eb\u30aa\u30ad\u30b7\u30c8\u30f3=SSRI\u30c7\u30d7\u30ed\u30e1\u30fc\u30eb\u3001\u30eb\u30dc\u30c3\u30af\u30b9\u3000448\u4f8b<\/li>\n\n\n\n<li>\u30bb\u30eb\u30c8\u30e9\u30ea\u30f3=SSRI\u30b8\u30a7\u30a4\u30be\u30ed\u30d5\u30c8\u3000272\u4f8b<\/li>\n\n\n\n<li>\u30d1\u30ed\u30ad\u30bb\u30c1\u30f3=SSRI\u30d1\u30ad\u30b7\u30eb\u3000146\u4f8b<\/li>\n\n\n\n<li>\u30c7\u30e5\u30ed\u30ad\u30bb\u30c1\u30f3=SNRI\u30b5\u30a4\u30f3\u30d0\u30eb\u30bf\u3000255\u4f8b<\/li>\n\n\n\n<li>\u30de\u30d7\u30ed\u30c1\u30ea\u30f3=\u56db\u74b0\u7cfb\u6297\u3046\u3064\u85ac\u30eb\u30b8\u30aa\u30df\u30fc\u30eb\u300087\u4f8b<\/li>\n<\/ul>\n\n\n\n<p>\u7d50\u679c\u7684\u306b\u6297\u3046\u3064\u85ac\u3092\u5897\u91cf\u3059\u308b\u65b9\u6cd5\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6a19\u6e96\u7528\u91cf\u3092\u7d99\u7d9a\u3059\u308b\u7642\u6cd5\u3068\u6bd4\u3079\u6709\u52b9\u3067\u306f\u306a\u3044<\/li>\n\n\n\n<li>\u500b\u3005\u306e\u6297\u3046\u3064\u85ac\u3069\u308c\u3067\u3082\u52b9\u679c\u306f\u5909\u308f\u308a\u306a\u3044<\/li>\n\n\n\n<li>\u3053\u308c\u306f\u75c7\u72b6\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u3082\u7279\u306b\u5dee\u306f\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p>\u8457\u8005\u3089\u306f\u300c\u30e1\u30bf\u89e3\u6790\u306e\u7d50\u679c\u304b\u3089\u3001\u521d\u56de\u306e\u6297\u3046\u3064\u85ac\u6cbb\u7642\u306b\u304a\u3044\u3066\u6a19\u6e96\u7528\u91cf\u3067\u6cbb\u7642\u53cd\u5fdc\u304c\u8a8d\u3081\u3089\u308c\u306a\u3044\u60a3\u8005\u3078\u306e<strong>\u6297\u3046\u3064\u85ac\u5897\u91cf\u7642\u6cd5\u306f\u3001\u3046\u3064\u75c5\u306b\u5bfe\u3059\u308b\u4e00\u822c\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u30d9\u30fc\u30b9\u306e\u6cbb\u7642\u9078\u629e\u80a2\u3068\u3057\u3066\u307f\u306a\u3055\u308c\u306a\u3044<\/strong>\u300d\u3068\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>\u539f\u8457\u8ad6\u6587\u306f\u3053\u3061\u3089<br>Dold M, et al. Psychother Psychosom. 2017;86:283-291.<br><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28903107\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28903107<\/a><\/p>\n\n\n\n<p>\u3053\u306e\u50be\u5411\u306f\u30012026\u5e74\u6642\u70b9\u3067\u3082 \u201c\u5897\u91cf\u304c\u660e\u78ba\u306b\u6709\u52b9\u201d \u3068\u793a\u3055\u308c\u305f\u6297\u3046\u3064\u85ac\u306f\u57fa\u672c\u7684\u306b\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u304b\u306a\u308a\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u3066\u3001 <strong>SSRI\u30fbSNRI\u30fbNaSSA \u3044\u305a\u308c\u3082\u300c\u5897\u91cf\u3067\u52b9\u679c\u304c\u982d\u6253\u3061\u306b\u306a\u308b\u300d\u50be\u5411\u306f\u5909\u308f\u305a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u526f\u4f5c\u7528\u304c\u5897\u3048\u308b<\/li>\n\n\n\n<li>\u96e2\u8131\u75c7\u72b6\u304c\u5f37\u304f\u306a\u308b\uff08\u7279\u306b\u30d1\u30ed\u30ad\u30bb\u30c1\u30f3\uff09<\/li>\n\n\n\n<li>\u5fcd\u5bb9\u6027\u304c\u4e0b\u304c\u308b <\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u3046\u7406\u7531\u3067\u3001\u4e16\u754c\u7684\u306b\u306f 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