Woggon B, Angst J
Int Pharmacopsychiatry. 1978;13(3):165-76. doi: 10.1159/000468337.
Within the scope of a clinical double-blind study, effects and side effects of Bromperidol and Perphenazine were compared. Forty newly-hospitalized schizophrenic patients were included in the trial. Assessments were made on days 0, 2, 5, 10, 20, and 30. Data were documented by means of the AMP system, the EPRS scale of Simpson and Angus, and a Brief Ward Behaviour Rating Scale. Laboratory tests and ECGs were performed before and after treatment. Treatment was scheduled for 30 days and dosages were established depending on effects and side effects. We found a therapeutic effective mean daily dose of 6 mg for Bromperidol and 20 mg for Perphenazine. Both substances caused autonomic and extrapyramidal side effects and, in a few patients, temproary fatigue. The employed dosage caused no strong sedation. To sum up, Bromperidol and Perphenazine can be described as highly potent and well tolerated antipsychotic drugs. We observed stronger efficacy and earlier onset of action with Bromperidol. The superior effect of Bromperidol cannot be explained by a higher dosage as compared with Perphenazine, since both substances showed a similar severity of extrapyramidal side effects, and the dosage of both substances was established individually for each patient, depending on effects and side effects.
在一项临床双盲研究范围内,比较了溴哌利多和奋乃静的疗效及副作用。40名新入院的精神分裂症患者纳入该试验。在第0、2、5、10、20和30天进行评估。数据通过AMP系统、辛普森和安格斯的EPRS量表以及简短病房行为评定量表记录。治疗前后进行实验室检查和心电图检查。治疗计划为期30天,剂量根据疗效和副作用确定。我们发现溴哌利多的治疗有效平均日剂量为6毫克,奋乃静为20毫克。两种药物均引起自主神经和锥体外系副作用,少数患者出现暂时疲劳。所用剂量未引起强烈镇静作用。总之,溴哌利多和奋乃静可被描述为高效且耐受性良好的抗精神病药物。我们观察到溴哌利多疗效更强且起效更早。与奋乃静相比,溴哌利多的优越效果不能用更高剂量来解释,因为两种药物锥体外系副作用的严重程度相似,且两种药物的剂量都是根据每位患者的疗效和副作用单独确定的。