Herrera-Estrella Miguel, Apiquian Rogelio, Fresan Ana, Sanchez-Torres Isabel
Psychiatry Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
BMC Psychiatry. 2005 May 3;5:22. doi: 10.1186/1471-244X-5-22.
The efficacy of antipsychotics can be evaluated using the dimensional models of schizophrenic symptoms. The D2/D3-selective antagonist amisulpride has shown similar efficacy and tolerability to other atypical antipsychotics. The aim of the present study was to determine the efficacy of amisulpride on the dimensional model of schizophrenic symptoms and tolerability in latin schizophrenic patients.
Eighty schizophrenic patients were enrolled and 70 completed a prospective open-label 3-month study with amisulpride. The schizophrenic symptoms, psychosocial functioning and side-effects were evaluated with standardized scales.
The patients showed significant improvement in the five dimensions evaluated. Amisulpride (median final dose 357.1 mg/d) was well-tolerated without treatment-emergent extrapyramidal side-effects.
Amisulpride showed efficacy on different psychopathological dimensions and was well tolerated, leading to consider this drug a first line choice for the treatment of schizophrenia.
抗精神病药物的疗效可通过精神分裂症症状的维度模型进行评估。D2/D3选择性拮抗剂阿立哌唑已显示出与其他非典型抗精神病药物相似的疗效和耐受性。本研究的目的是确定阿立哌唑对拉丁裔精神分裂症患者精神分裂症症状维度模型的疗效和耐受性。
招募了80名精神分裂症患者,其中70名完成了一项为期3个月的阿立哌唑前瞻性开放标签研究。使用标准化量表评估精神分裂症症状、心理社会功能和副作用。
患者在评估的五个维度上均有显著改善。阿立哌唑(最终中位剂量357.1毫克/天)耐受性良好,未出现治疗中出现的锥体外系副作用。
阿立哌唑在不同的精神病理维度上显示出疗效,且耐受性良好,因此可将该药物视为治疗精神分裂症的一线选择。