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阿尔茨海默病痴呆患者的氟哌啶醇浓度

Haloperidol Concentrations in Patients With Alzheimer's Dementia.

作者信息

Dysken Maurice W, Johnson Sue B, Holden Lori, Vatassery Govind, Nygren Julie, Jelinski Mary, Kuskowski Michael, Schut Larry, McCarten J Riley, Knopman David, Maletta Gabe J, Skare Stacy

机构信息

GRECC Program (11G), Minneapolis Veterans Administration Medical Center, One Veterans Drive, Minneapolis, MN 55417.

出版信息

Am J Geriatr Psychiatry. 1994;2(2):124-133. doi: 10.1097/00019442-199405000-00006. Epub 2013 Jan 28.

Abstract

To investigate the relationship between clinical response and haloperidol blood concentrations in Alzheimer's dementia (AD) patients with behavior problems, 29 AD inpatients were assigned to a fixed oral dosage of haloperidol (0.5 mg, 1.0 mg, or 2.0 mg) every 12 hours for 3 weeks. BEHAVE-AD ratings and concentrations of plasma and RBC haloperidol and reduced haloperidol were obtained on Days 8, 15, and 22. Although no significant linear or curvilinear relationships were apparent between percent of change on BEHAVE-AD and plasma or RBC haloperidol concentrations, a good response (change ≥ 30%) was observed in 55% of the patients who entered the study.

摘要

为研究伴有行为问题的阿尔茨海默病(AD)患者的临床反应与氟哌啶醇血药浓度之间的关系,29例AD住院患者被分配接受每12小时一次的固定口服剂量氟哌啶醇(0.5毫克、1.0毫克或2.0毫克),持续3周。在第8天、15天和22天获得BEHAVE-AD评分以及血浆和红细胞中氟哌啶醇及还原氟哌啶醇的浓度。尽管BEHAVE-AD变化百分比与血浆或红细胞氟哌啶醇浓度之间未显示出显著的线性或曲线关系,但在参与研究的患者中,55%观察到良好反应(变化≥30%)。

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