An open pilot trial of olanzapine for delirium in the Korean population

被引:52
作者
Kim, KS [1 ]
Pae, CU [1 ]
Chae, JH [1 ]
Bahk, WM [1 ]
Jun, T [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Dept Psychiat, Seoul, South Korea
关键词
delirium; delirium rating scale; olanzapine; open trial;
D O I
10.1046/j.1440-1819.2001.00898.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study was performed to assess the efficacy and safety of olanzapine for the treatment of delirium in a Korean population. An open trial of olanzapine was conducted in Korean patients with delirium caused by multiple medicosurgical conditions. All subjects were evaluated by Delirium Rating Scale (DRS), which is known to be one of the most sensitive scales for delirium. In addition, other data for profiles of side-effects were collected and analyzed. Twenty patients were treated by olanzapine with doses of 5.9 +/- 1.5 mg/day. The initial dose was 4.6 +/- 0.9 mg/day and maximal dose of olanzapine was 8.8 +/- 2.2 mg/day. The average duration of treatment was 6.6 +/- 1.7 days and the day of maximal response was 3.8 +/- 1.7 treated days. The scores of DRS were significantly improved from 20.0 +/- 3.6 at the time of pretreatment to 9.3 +/- 4.6 at the post-treatment. All subjects showed no definite serious side-effects including anticholinergic and extrapyramidal symptoms. Olanzapine treatment for patients with delirium was effective and safe. This newer drug may be a useful alternative agent to classical antipsychotics in the treatment of delirium.
引用
收藏
页码:515 / 519
页数:5
相关论文
共 28 条
[1]  
Anand HS, 1999, CAN J PSYCHIAT, V44, P397
[2]   Atypical antipsychotics: Part II - Adverse effects, drug interactions, and costs [J].
Brown, CS ;
Markowitz, JS ;
Moore, TR ;
Parker, NG .
ANNALS OF PHARMACOTHERAPY, 1999, 33 (02) :210-217
[3]  
Buckley PF, 1999, J CLIN PSYCHIAT, V60, P52
[4]   Decreased binding affinity of olanzapine and clozapine for human muscarinic receptors in intact clonal cells in physiological medium [J].
Bymaster, FP ;
Falcone, JF .
EUROPEAN JOURNAL OF PHARMACOLOGY, 2000, 390 (03) :245-248
[5]   Antagonism by olanzapine of dopamine D1, serotonin2, muscarinic, histamine H1 and α1,-adrenergic receptors in vitro [J].
Bymaster, FP ;
Nelson, DL ;
DeLapp, NW ;
Falcone, JF ;
Eckols, K ;
Truex, LL ;
Foreman, MM ;
Lucaites, VL ;
Calligaro, DO .
SCHIZOPHRENIA RESEARCH, 1999, 37 (01) :107-122
[6]   Radioreceptor binding profile of the atypical antipsychotic olanzapine [J].
Bymaster, FP ;
Calligaro, DO ;
Falcone, JF ;
Marsh, RD ;
Moore, NA ;
Tye, NC ;
Seeman, P ;
Wong, DT .
NEUROPSYCHOPHARMACOLOGY, 1996, 14 (02) :87-96
[7]  
BYMASTER FP, 1999, JPN J CLIN PSYCHOPHA, V2, P885
[8]  
Casey DE, 1996, J CLIN PSYCHIAT, V57, P40
[9]   Delirium risk factors in elderly hospitalized patients [J].
Elie, M ;
Cole, MG ;
Primeau, FJ ;
Bellavance, F .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1998, 13 (03) :204-212
[10]  
Frank C, 1999, Can Fam Physician, V45, P875