Ziprasidone as adjunctive therapy in severe bipolar patients treated with clozapine.

ISRN Psychiatry Pub Date : 2014-04-07 eCollection Date: 2014-01-01 DOI:10.1155/2014/904829
Natalia Bartolommei, Francesco Casamassima, Laura Pensabene, Federica Luchini, Antonella Benvenuti, Antonello Di Paolo, Luca Cosentino, Mauro Mauri, Lorenzo Lattanzi
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引用次数: 2

Abstract

Aim. To confirm the efficacy and tolerability of ziprasidone as adjunctive therapy in bipolar patients partially responding to clozapine or with persisting negative symptoms, overweight, or with metabolic syndrome. Methods. Eight patients with psychotic bipolar disorder were tested with the BPRS, the HAM-D, and the CGI at T0 and retested after 2 weeks (T1). Plasma clozapine and norclozapine levels and BMI were tested at T0 and T1. Results. Ziprasidone was well tolerated by all the patients. BPRS and HAM-D scores were reduced in all patients. BMI was reduced in patients with a BMI at T0 higher than 25. Plasma levels of clozapine and norclozapine showed an irregular course.

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齐拉西酮作为氯氮平治疗重度双相患者的辅助疗法。
的目标。确认齐拉西酮作为辅助治疗对氯氮平有部分反应或持续阴性症状、超重或有代谢综合征的双相患者的疗效和耐受性。方法。8例精神病性双相情感障碍患者在T0时进行了BPRS、HAM-D和CGI测试,并在2周后(T1)再次进行了测试。在T0和T1时检测血浆氯氮平和去甲氯氮平水平和BMI。结果。齐拉西酮的耐受性良好。所有患者的BPRS和HAM-D评分均降低。BMI在T0高于25的患者BMI降低。氯氮平和去氯氮平的血药浓度呈不规则变化。
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