Zonda T, Kövári E
Psychiatric Patient Admission and Observation Unit, Jahn Ferenc Hospital, Budapest.
Ther Hung. 1992;40(2):64-8.
Observations with slow-release neuroleptics used in the treatment of inpatients of a psychiatric ward of a general hospital have been discussed. The comparative examinations were performed within a period of two and a half years in a total of 48 patients who were ranged into two groups at random. One group received Piportil, the other Haloperidol decanoate therapy. It has to be emphasized that Haloperidol is available also in its tablet form and as short-acting injection, and is readily accessible (contrary to other products), so it is a good basis for assessing the expectable effectivity of and tolerance to depot products. When comparing the two drugs, in the course of Piportil administration neuroleptic depression developed more frequently, in one case delirium occurred which unwanted effects did not develop in the course of the administration of Haloperidol decanoate. According to our observations on a low number of cases relapse also occurred more frequently in the Piportil-treated cases. Pathological change was not observed in the results of routine laboratory examinations in the course of the administration of any of the drugs. The advantages of the use of depot products have been discussed in detail from both the physician's and the patient's aspect. Due to their beneficial antipsychotic action schizophrenic clinical conditions and especially paranoid conditions constitute the major indication field of these drugs. The use of depot products in the treatment of patients refusing therapy means a dramatic change.
本文讨论了在一家综合医院精神科病房住院患者治疗中使用缓释抗精神病药物的观察结果。在两年半的时间里,对48例患者进行了对比检查,这些患者被随机分为两组。一组接受匹莫齐特治疗,另一组接受癸酸氟哌啶醇治疗。必须强调的是,氟哌啶醇也有片剂形式和短效注射剂,且容易获得(与其他产品不同),因此它是评估长效制剂预期有效性和耐受性的良好基础。比较这两种药物时,在使用匹莫齐特的过程中,抗精神病药物性抑郁更频繁地发生,有1例出现谵妄,而在使用癸酸氟哌啶醇的过程中未出现这些不良反应。根据我们对少数病例的观察,接受匹莫齐特治疗的病例复发也更频繁。在使用任何一种药物的过程中,常规实验室检查结果均未观察到病理变化。从医生和患者的角度详细讨论了使用长效制剂的优点。由于其有益的抗精神病作用,精神分裂症临床状况,尤其是偏执状态是这些药物的主要适应证领域。在治疗拒绝治疗的患者中使用长效制剂意味着一个巨大的改变。