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Nach ihrer Entlassung kam es in der Häuslichkeit zu einer progressiven psychischen Verschlechterung der Patientin. Bei der Vorstellung in der Notaufnahme war fremdanamnestisch durch den Ehemann zu erfahren, dass die Patientin zunehmend reizbar, ungeduldig und verbal aggressiv gewesen sei, auch gegenüber den gemeinsamen Kindern. Die Patientin selbst beklagte zusätzlich eine starke Antriebslosigkeit und einen erhöhten Schneidedruck. Über einen Zeitraum von sechs Wochen sei es zudem vermehrt zu gastroenterologischen Beschwerden in Form von Diarrhöen und Übelkeit gekommen. Aufgrund des hohen Leidensdrucks erfolgte die erneute stationäre Aufnahme der Patientin über die Notaufnahme zur medikamentösen Optimierung. Sexualhormone standen im Mittelpunkt des zweiten pharmazeutischen Kongresses der Sächsischen Landesapothekerkammer, der am 27. September bei Chemnitz stattfand. Sexualhormone und ihre synthetischen Derivate haben vielfältige medizinische Indikationen, wie hormonale Kontrazeption, Behebung sexueller Störungen, Behandlung von Wechseljahresbeschwerden und Vorbeugung von Alterserscheinungen. Gerade der Effekt des «Anti-Aging» ist jedoch sehr umstritten, und die entsprechenden Präparate sind größtenteils nicht zugelassen und deshalb illegal auf dem Markt. Bei den «Minipillen» zur Kontrazeption und bei der Hormonersatztherapie in der Menopause ist eine besonders sorgfältige Diagnosestellung erforderlich.

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