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Artigo em Russo | MEDLINE | ID: mdl-24637815

RESUMO

Our study was based on the hypothesis that a non competitive antagonist of NMDA receptors can improve clinical effects of antipsychotic therapy in a subgroup of patients with schizophrenia with clinical signs of glutamatergic hyperfunction such as catatonic symptoms and disorganization. The study design was open and non-comparative. The duration of the study for each patient was 6 months, the target dosage of acatinol was 20 mg. Forty stable patients with schizophrenia with predominance of signs of disorganization and subcatatonic symptoms were included. The following instruments were used: PANSS, NSA, CGI, BACS, UKU. Adding of acatinol to the antipsychotic treatment improved clinical symptoms, cognitive functioning and social functioning and decreased the number of side effects. The drug was well-tolerated.


Assuntos
Antipsicóticos/uso terapêutico , Dopaminérgicos/uso terapêutico , Memantina/uso terapêutico , Esquizofrenia Catatônica/tratamento farmacológico , Esquizofrenia Hebefrênica/tratamento farmacológico , Adulto , Antipsicóticos/administração & dosagem , Antipsicóticos/efeitos adversos , Dopaminérgicos/administração & dosagem , Dopaminérgicos/efeitos adversos , Feminino , Humanos , Masculino , Memantina/administração & dosagem , Memantina/efeitos adversos , Pessoa de Meia-Idade , Esquizofrenia Catatônica/diagnóstico , Esquizofrenia Hebefrênica/diagnóstico
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