Clozapine and risperidone in chronic schizophrenia: Effects on symptoms, Parkinsonian side effects, and neuroendocrine response

作者: David Pickar , Alan F. Breier , Alan F. Breier , Allan Clifton , Caleb M. Adler

DOI: 10.1176/AJP.156.2.294

关键词:

摘要: OBJECTIVE: Clozapine and risperidone were the first two “second-generation” antipsychotic drugs approved for schizophrenia. There is currently little information about their comparative efficacy from head-to-head clinical trials. The purpose of this study was to examine clozapine positive negative symptoms, depression, parkinsonian side effects, indexes neuroendocrine function in schizophrenic patients who met a priori criteria partial response traditional neuroleptic agents. METHOD: After baseline fluphenazine treatment period, 29 participated 6-week, double-blind, parallel-group comparison effects these RESULTS: superior symptoms but there no significant differences between on measures Brief Psychiatric Rating Scale total scores, depression scores. patients, not rispe...

参考文章(28)
Risperidone in the treatment of schizophrenia. American Journal of Psychiatry. ,vol. 151, pp. 825- 835 ,(1994) , 10.1176/AJP.151.6.825
A. Eens, P. A. J. Janssen, W. Gommeren, J. E. Leysen, J. C. Stoof, D. De Chaffoy De Courcelles, Biochemical profile of risperidone, a new antipsychotic. Journal of Pharmacology and Experimental Therapeutics. ,vol. 247, pp. 661- 670 ,(1988)
A. Schotte, P. F. M. Janssen, W. Gommeren, W. H. M. L. Luyten, P. Van Gompel, A. S. Lesage, K. De Loore, J. E. Leysen, Risperidone compared with new and reference antipsychotic drugs: in vitro and in vivo receptor binding Psychopharmacology. ,vol. 124, pp. 57- 73 ,(1996) , 10.1007/BF02245606
Frank P Bymaster, David O Calligaro, Julie F Falcone, Richard D Marsh, Nicholas A Moore, Nicholas C Tye, Philip Seeman, David T Wong, Radioreceptor binding profile of the atypical antipsychotic olanzapine Neuropsychopharmacology. ,vol. 14, pp. 87- 96 ,(1996) , 10.1016/0893-133X(94)00129-N
LESLIE PHILLIPS, Case history data and prognosis in schizophrenia. Journal of Nervous and Mental Disease. ,vol. 117, pp. 515- 525 ,(1953) , 10.1097/00005053-195306000-00004
Steven W.J. Lamberts, Peter M. van Koetsveld, Leo J. Hofland, The effect of clozapine on prolactin secretion at the level of the lactotroph Life Sciences. ,vol. 46, pp. 1013- 1019 ,(1990) , 10.1016/0024-3205(90)90025-M
John E. Overall, Donald R. Gorham, The Brief Psychiatric Rating Scale Psychological Reports. ,vol. 10, pp. 799- 812 ,(1962) , 10.2466/PR0.1962.10.3.799
Herbert Y. Meltzer, Sarah Burnett, Bijan Bastani, Luis F. Ramirez, Effects of six months of clozapine treatment on the quality of life of chronic schizophrenic patients. Psychiatric Services. ,vol. 41, pp. 892- 897 ,(1990) , 10.1176/PS.41.8.892