Neuropsychiatric Disease and Treatment

Autor: Louzã, Mário Rodrigues, Elkis, Helio, Ruschel, Sandra, Oliveira, Irismar Reis de, Bressan, Rodrigo Affonseca, Abreu, Paulo Belmonte de, Grabowski, Hamilton, Appolinário, José Carlos
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Repositório Institucional da UFBA
Universidade Federal da Bahia (UFBA)
instacron:UFBA
DOI: 10.2147/NDT.S20589
Popis: texto completo: acesso restrito; p.391–398. Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2012-03-06T19:56:21Z No. of bitstreams: 1 NDT-20589-long-acting-injectable-risperidone-in-partial-and-nonadheren_062211.pdf: 205337 bytes, checksum: baebc6dbfffd4b121be24a2b22102c8f (MD5) Made available in DSpace on 2012-03-06T19:56:21Z (GMT). No. of bitstreams: 1 NDT-20589-long-acting-injectable-risperidone-in-partial-and-nonadheren_062211.pdf: 205337 bytes, checksum: baebc6dbfffd4b121be24a2b22102c8f (MD5) Previous issue date: 2011 Background: Long-acting injectable antipsychotics may improve medication adherence, thereby improving overall treatment effectiveness. This study aimed to evaluate the effectiveness, safety, and tolerability of risperidone long-acting injection in schizophrenic patients switched from oral antipsychotic medication. Methods: In a 12-month, multicenter, open-label, noncomparative study, symptomatically stable patients on oral antipsychotic medication with poor treatment adherence during the previous 12 months received intramuscular injections of risperidone long-acting injection (25 mg starting dose) every 2 weeks. The primary endpoint was the change in Positive and Negative Syndrome Scale (PANSS) total score. Results: Of the 60 patients who were screened, 53 received at least one injection (safety population), and 51 provided at least one postbaseline assessment. Mean PANSS total scores improved significantly throughout the study and at endpoint. Significant improvements were also observed in Clinical Global Impression of Severity, Personal and Social Performance, and Drug Attitude Inventory scales. Risperidone long-acting injection was safe and well- tolerated. Severity of movement disorders on the Extrapyramidal Symptom Rating Scale was reduced significantly. The most frequently reported adverse events were insomnia (22.6%), increased prolactin (17.0%), and weight gain (13.2%). Conclusion: Risperidone long-acting injection was associated with significant symptomatic improvements in stable patients with schizophrenia following a switch from previous antipsychotic medications.
Databáze: OpenAIRE