ABSTRACT
The objective of this study was to investigate the efficacy and safety of bromocriptine (BRC) as an adjunct to conventional treatment in systemic lupus erythematosus (SLE). A prospective, double-blind, randomized, placebo-controlled study compared BRC at a fixed daily dosage of 2.5 mg with placebo. Patients were followed for 2-17 months (mean 12.5 months). Disease activity was assessed using the SLE Disease Activity Index (SLEDAI), numbers of flares were recorded, and serum prolactin (PRL) levels were obtained at intervals during the study. Patients were allowed to take prednisone and immunosuppressive drugs. Sixty-six patients with SLE entered the study. Thirty-six were treated with BRC, and 30 controls received placebo. Sixteen patients were removed from the study during the treatment period: five in each group left the study because of adverse effects, five became pregnant, and one patient who took placebo died with central nervous system lupus. Four patients in the BRC treatment group and three patients in the placebo group moved away or stopped coming for study visits for unknown reasons, and were lost to follow-up during the course. At entry, serum PRL was (mean+/-s.d.) 24.8 ng/ml+/-18.4 in the BRC treatment group. This value fell to 5.8+/-9.0 after 12 months of treatment. Corresponding PRL values in controls were 23.7+/-22.1 pretreatment and 20.3+/-14 after 12 months. PRL levels in BRC-treated subjects were significantly lower than levels in control subjects after 3, 6, 9, and 12 months of treatment. The SLEDAI score on the fifth protocol visit was decreased significantly in the BRC group vs controls: 0.9+/-1.4 vs 2.6+/-4.5 (P < 0.05). Although the absolute number of flares in each group was similar, the mean number of flares/patient/month was decreased significantly in the BRC group compared to the control group (0.08+/-0.1 vs 0.18+/-0.2, P = 0.03). Long term treatment with a low dose of BRC appears to be a safe and effective means of decreasing SLE flares in SLE patients.
Subject(s)
Bromocriptine/administration & dosage , Hormone Antagonists/administration & dosage , Lupus Erythematosus, Systemic/drug therapy , Prolactin/blood , Adult , Double-Blind Method , Female , Humans , Lupus Erythematosus, Systemic/blood , Middle Aged , Pregnancy , Prolactin/antagonists & inhibitors , Treatment OutcomeABSTRACT
En este estudio se observan detalladamente los resultados obtenidos en noventa y ocho pacientes con osteoartrosis sometidos a tratamiento con indoprofen inyectable.Pudo observarse que a partir de los primeros cuatro dias de iniciado el tratamiento, la mayoria de los parametros valorables mejoraron significativamente, a las dosis diarias de 400 mg I.M. cada 12 hrs., principalmente en lo referente a la resolucion del dolor y a la mejoria de la motilidad articular. Los efectos secundarios observados se circunscribieron al sitio de su aplicacion. En general, en este estudio pudo comprobarse la eficacia de indoprofen en el tratamiento de la osteoartrosis
Subject(s)
Humans , Male , Female , Indoprofen , Injections, Intramuscular , OsteoarthritisSubject(s)
Adult , Middle Aged , Humans , Male , Female , Gout , Indoprofen , Administration, Oral , Injections, IntramuscularSubject(s)
Anemia, Aplastic/blood , Anemia, Dyserythropoietic, Congenital/blood , Anemia, Hemolytic, Congenital/blood , Pancytopenia/blood , Adolescent , Adult , Aged , Anemia, Aplastic/pathology , Bone Marrow Cells , Child , Child, Preschool , Female , Humans , Leukocyte Count , Male , Middle Aged , Pancytopenia/pathology , Reticulocytes/pathologyABSTRACT
En un ensayo clinico abierto sobre 25 pacientes con sindrome doloroso acompanado de contractura y la tolerancia clinica de la asociacion de cobamamida (20,000 mcg) y tiocolchicosido (4 mg), administrada por via intramuscular. En diagnosticos tales como lumbociaticas, lumbalgias, cervicobraquialgias, cervicodorsalgias y periartritis escapulohumeral, el dolor y la contractura muscular se redujeron en forma notable, estadisticamente muy significativa (p<0.001). El efecto terapeutico fue rapido: dentro de los tres primeros dias de tratamiento, la accion antalgica se manifesto en forma clara em 72% de los pacientes y la accion decontracturante en 80% de los mismos. La tolerancia clinica fue perfecta en 88% de los casos, siendo los efectos indeseables pasajeros y de escasa importancia. En conjunto, se observaron resultados excelentes y buenos en 80% de los pacientes.Las indicaciones mas beneficiadas por la terapeutica fueron lumbociaticas, cervicobraquialgias y lumbalgias. En esta ultima indicacion, todos los pacientes obtuvieron resultados excelentes y buenos
