LOW-DOSE FLUPHENAZINE DECANOATE IN MAINTENANCE TREATMENT OF SCHIZOPHRENIA

被引:38
作者
KANE, JM
RIFKIN, A
QUITKIN, F
NAYAK, D
SARAF, K
RAMOSLORENZI, JR
KLEIN, DF
SACHAR, EJ
机构
[1] Devdutt Nayak, M.D. and Kishore Saraf, M.D., are Research Psychiatrists and Jorge R. Ramos-Lorenzi, M.D., is Director Aftercare Clinic
[2] Arthur Rifkin, M.D., is Director, Comprehensive Treatment Program, Department of Psychiatry, Mount Sinai Medical Center
[3] Edward J. Sachar, M.D., is Director, New York State Psychiatric Institute and Chairman, Department of Psychiatry, Columbia University College of Physicians and Surgeons
关键词
decanoate; Fluphenazine; minimal dosage; outcome; schizophrenia;
D O I
10.1016/0165-1781(79)90016-7
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
To test the clinical efficacy of low dose fluphenazine decanoate (1.25 mg to 5.0 mg biweekly), we carried out two separate experiments: (1) an open trial in 57 schizophrenic outpatients, lasting 6 months; (2) a double-blind, placebo-controlled discontinuation study in a subgroup of patients who maintained good remission throughout the entire 6-month open trial. The results suggest that lower doses of fluphenazine decanoate than those usually used may be effective in preventing psychotic relapse while keeping total cumulative dosage to a minimum. © 1979.
引用
收藏
页码:341 / 348
页数:8
相关论文
共 24 条
[1]  
Baldessarini, Tarsy, Mechanisms underlying tardive dyskinesia, The Basal Ganglia, (1976)
[2]  
Davis, Overview: Maintenance therapy in psychiatry: I. Schizophrenia, American Journal of Psychiatry, 132, (1975)
[3]  
Degwitz, Extrapyramidal motor disorders following long-term treatment with neuroleptic drugs, Psychotropic Drugs and Dysfunction of the Basal Ganglia, (1969)
[4]  
Gardos, Cole, The importance of dosage in antipsychotic drug administration: A review of dose response studies, Psychopharmacologia, 29, (1973)
[5]  
Gardos, Cole, Maintenance antipsychotic therapy: Is the cure worse than the disease?, American Journal of Psychiatry, 133, (1976)
[6]  
Hogarty, Goldberg, Schooler, Ulrich, Drugs and sociotherapy in the aftercare of schizophrenic patients: II. Two-year relapse rate, Archives of General Psychiatry, 31, (1974)
[7]  
Hogarty, Ulrich, Mussare, Aristigueta, Drug discontinuation among long-term successfully maintained schizophrenic outpatients, Diseases of the Nervous System, 38, (1977)
[8]  
Jus, Pineau, Lachance, Pelchat, Jus, Pires, Villeneuve, Epidemiology of tardive dyskinesia: Part I, Diseases of the Nervous System, 36, (1976)
[9]  
Klawans, The pharmacology of tardive dyskinesia, Am J Psychiatry, 130, (1973)
[10]  
Leff, Wing, Trial of maintenance therapy in schizophrenics, British Medical Journal, 2, (1971)