Sunday, May 11, 2008

Agitation And Psychotic Symptoms Of Dementia Respond Well To Antidepressant Treatment




Researchers particular found unlooked inside support of attestation that an antidepressant (citalopram) may get something done above and ancient history by means of a commonly-prescribed antipsychotic (risperidone) in the alleviation of firm agitation and psychotic symptom of dementia. Researchers also found that the antidepressant be associated near "significantly lower" adverse fusion effects.



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"We are impelled via this early statistics, but we measurement to revise more in further trial that encompass a placebo contingent formerly we can right to be heard with assurance that antidepressants are an important and out of danger treatment for agitation and psychosis in patients torture from dementia," say organize investigator Dr. Bruce Pollock, who teamed mindful with workmate Dr. Benoit Mulsant to conduct the study.



Both scientists are worldwide standard for their research in geriatric psychopharmacology -- the study of the effects of drugs next to gist, behavior and cognition in unsettled vivacity. They are very immediately with swaying Toronto-based research institute -- Dr. Pollock with the Rotman Research Institute at Baycrest and the Geriatric Mental Health Program at the Centre for Addiction and Mental Health (CAMH), and Dr. Mulsant with the Geriatric Mental Health Program at CAMH. They also have intellectual appointments with the Department of Psychiatry, University of Toronto (UofT).



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In this 12-week clinical trial, 53 patients were given each day dose of citalopram and 50 received daily doses of risperidone. Overall, 43% of the participant completed the trial: 47% in the citalopram group and 40% in the risperidone group. The dropout rate is classic for this having a propensity population, according to Dr. Pollock, and do not bully the scientific rightfulness of the findings.



The researchers were dazed to find that citalopram and risperidone have identical efficacy in reducing psychosis (hallucinations, delusion, untrustworthy thoughts) and agitation. Overall, near was a 32% diminution of symptoms with citalopram and a 35% reduction with risperidone. Citalopram was associated with a irrefutably degrade hamper of adverse side effects, such as sedation, tautness and apathy. Total side effect burden win increased 19% for risperidone and diminution by 4% with citalopram.



"We didn't wish that an antidepressant would have so-called antipsychotic property," affix Dr. Mulsant. "It reinforces our presumption that psychosis and agitation have a contradictory neurochemistry in older patients with dementia and in younger patients with schizophrenia, even in viciousness of this both group of patients are now treat with like medication (antipsychotics)." ---------------------------






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