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Challenging Deficit Syndrome Of Schizophrenia By Norepinephrine Reuptake Inhibitor: A Controlled Clinical Trial 去甲肾上腺素再摄取抑制剂治疗精神分裂症挑战性缺陷综合征:一项对照临床试验
Pub Date : 2019-12-27 DOI: 10.24966/adsd-9594/100010
S. Shafti
Citation: Jafarabad Azizi R (2019) Challenging Deficit Syn- drome of Schizophrenia by Norepinephrine Reuptake Inhibitor: A Controlled Clinical Trial. J Alcohol Drug Depend Subst Abus 5: 010. Abstract Objective: Despite advances made in treating the positive symp- toms of schizophrenia, treatment of negative symptoms remains an unmet therapeutic need. Reboxetine is a norepinephrine reuptake inhibitor (NRI) .Objective of this study was to evaluate its effect on the negative symptoms of schizophrenia. Method: In a twelve-week randomized placebo-controlled trial, re- boxetine was compared with placebo, as an add-on medication to haloperidol (5 mg), for treatment of 50 patients meeting diagnosis of schizophrenia. In this respect, Scale for Assessment of Negative Symptoms was used as the primary outcome measure. Treatment efficacy was analyzed by t test, Split-plot (Mixed) and repeated – measures analysis of variance (ANOVA). Result: The primary finding of this trial was a significant reduction in mean total scores of SANS in the reboxetine group, in comparison with the placebo group, at the end of the 12th week (P <0.0001). As well, in the experiment group, all of the sub-scales of SANS demonstrated considerable improvement. A trivial escalation in mean total scores of SAPS also was evident in the later group. Effect Size (ES) analysis too at the end of the trial, pointed to a large improvement with reboxetine. Conclusion: Reboxetine, as adjuvant to haloperidol, may cause a favorable outcome on behalf of improvement of deficit symptoms of schizophrenia.
引用本文:Jafarabad Azizi R(2019)利用去甲肾上腺素再摄取抑制剂治疗精神分裂症的突触缺陷综合征:一项对照临床试验。[J]酒精与药物依赖杂志,5:010。摘要目的:尽管在治疗精神分裂症阳性症状方面取得了进展,但对阴性症状的治疗仍然是一个未满足的治疗需求。利波西汀是一种去甲肾上腺素再摄取抑制剂(NRI),本研究的目的是评价其对精神分裂症阴性症状的影响。方法:在一项为期12周的随机安慰剂对照试验中,对50例诊断为精神分裂症的患者进行比较,将重新波西汀与安慰剂作为氟哌啶醇(5mg)的附加药物。在这方面,阴性症状评估量表被用作主要结果测量。采用t检验、分裂图(混合)和重复测量方差分析(ANOVA)分析治疗效果。结果:该试验的主要发现是在第12周结束时,与安慰剂组相比,瑞博西汀组的SANS平均总分显著降低(P <0.0001)。同样,在实验组中,SANS的所有子量表都有相当大的改善。在后一组中,SAPS平均总分的轻微上升也很明显。试验结束时的效应大小(ES)分析也指出,瑞博西汀有很大的改善。结论:利波西汀作为氟哌啶醇的辅助治疗,对改善精神分裂症的缺陷症状有较好的效果。
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引用次数: 0
Using Over-The-Counter And Other Prescription Medications To Potentiate Opiates In The USA: Literature Review. Medical And Public Health Aspects Of OTC Medication Misuse 在美国使用非处方药和其他处方药增强阿片类药物:文献综述。非处方药物滥用的医疗和公共卫生方面
Pub Date : 2019-12-27 DOI: 10.24966/adsd-9594/100012
Valeriy Z
Medical and Public Health Aspects of OTC Medication Misuse. J Alcohol Drug Depend Subst Abus 5: 012. four out of five heroin users in the US started out by misusing OTC medication. Currently, 40% of users are potentiating their opiates with enhancers. Commonly used OTC enhancers include grapefruit juice, cimetidine, codeine, diphenhydramine, quinine, vitamin supplements, gabapentin and clonazepam, among others. The study aims to provide the first literature review on the topic. In this case, our research will be aimed at finding the ways opiate drug abus ers are using OTC and other prescribed medications to potentiate intoxication effects of the opiates, and also to identify the main reason people are potentiating opiates. The study will also investigate other drugs that are used to potentiate opiates. We believe there is a need for further research among street drug users with the aim of clarifying our understanding of opiates and their use. This study is motivated by the previously published literature and by the needs of society, and it will analyze data regarding the use of opiate boosters (OTC and other prescription medications) in the USA along with user feedback to provide information about the evolving abuse and suggest new approaches to combat opioid misuse. Abstract Opiates are generally indicated for the treatment of various pain syndromes; however, if alternate treatments have been exhausted and a physician elects to prescribe opioids, then both the physician and patient should be aware of the risks associated with use. More that 10% of patients prescribed opioids go on to misuse their pre- scription, and opioids account for three-quarters of all fatal prescription drug overdoses. Opioid boosters are drugs, herbs, or substances that are utilized to intensify the effects of the opioid. The use of potentiates goes back to as early as the 1600s where it is reported that morphine was sometimes combined with cocaine and alcohol to intensify its opioid effects. Today, the use of potentiates is aggravat-ing the issue of opioid abuse. While there are many approaches by which opioid effects can be intensified illicitly (e.g. snorting, or crush - ing tablets, evaporating liquid opioids via vapes, mixing liquid opioids with sodium bicarbonate, consuming grapefruit juice, etc), this article is intended to discuss most medications that are utilized as opioid boosters or potentiates. The article is not intended to provide a complete list of all potential boosters, however, we believe that it is an educational material to enhance our understanding and combat the abuse of opioids.
非处方药物滥用的医疗和公共卫生方面。[J]酒精与药物依赖杂志,5:012。在美国,五分之四的海洛因使用者最初都是滥用非处方药。目前,40%的吸毒者正在用增强剂增强他们的鸦片。常用的OTC增强剂包括葡萄柚汁、西咪替丁、可待因、苯海拉明、奎宁、维生素补充剂、加巴喷丁和氯硝西泮等。本研究旨在提供关于该主题的第一个文献综述。在这种情况下,我们的研究将旨在找出阿片类药物滥用者使用OTC和其他处方药来增强阿片类药物的中毒作用的方式,并确定人们增强阿片类药物的主要原因。该研究还将调查其他用于增强阿片类药物的药物。我们认为有必要在街头吸毒者中进行进一步的研究,目的是澄清我们对阿片类药物及其使用的理解。本研究的动机是先前发表的文献和社会的需求,它将分析有关使用阿片类药物助推器(OTC和其他处方药)在美国的数据以及用户的反馈,以提供有关不断发展的滥用信息,并提出新的方法来打击阿片类药物滥用。阿片类药物通常用于治疗各种疼痛综合征;然而,如果替代治疗已经用尽,医生选择开阿片类药物,那么医生和患者都应该意识到与使用相关的风险。超过10%的处方阿片类药物患者继续滥用处方,阿片类药物占所有致命处方药过量的四分之三。阿片类药物助推器是用来增强阿片类药物作用的药物、草药或物质。药效剂的使用最早可以追溯到17世纪,据报道,吗啡有时会与可卡因和酒精混合使用,以增强其阿片类药物的作用。今天,增强剂的使用加剧了阿片类药物滥用的问题。虽然有许多方法可以非法增强阿片类药物的作用(例如,鼻吸或压碎片剂,通过电子烟蒸发液体阿片类药物,将液体阿片类药物与碳酸氢钠混合,饮用葡萄柚汁等),但本文旨在讨论大多数用作阿片类药物增强剂或增强剂的药物。这篇文章并不打算提供所有潜在助推器的完整清单,但是,我们认为这是一份教育材料,可以增强我们对阿片类药物滥用的理解和打击。
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引用次数: 2
Patient Dropout From Opioid Substitution Treatment 患者退出阿片类药物替代治疗
Pub Date : 2019-01-18 DOI: 10.24966/ADSD-9594/100011
S. Akhtar
Opioid Substitution Treatment (OST) is an established treatment for opioid dependence. In New Zealand, OST programmes are regu-lated by the Ministry of Health (2014) and Methadone and Buprenor- phine/Naloxone (Suboxone) are the primary medications. Retention on OST is a key indicator for stabilization of patients with opioid de- pendence. The purpose of the present research was to study dropout
阿片类药物替代治疗(OST)是一种成熟的治疗阿片类药物依赖的方法。在新西兰,OST方案由卫生部管理(2014年),美沙酮和丁丙诺啡/纳洛酮(苏博松)是主要药物。OST保留是阿片类药物依赖患者稳定的关键指标。本研究的目的是研究辍学
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引用次数: 0
Marijuana Use Predicts Cannabis Withdrawal in Adolescents: A Model of Psychological Dysregulation 大麻使用预测青少年大麻戒断:一个心理失调模型
Pub Date : 2017-02-10 DOI: 10.24966/adsd-9594/100007
Jennifer S. Harris
Trait dysregulation further complicates the experience of withdrawal in high frequency marijuana use. Understanding the role of affective, behavioral, and cognitive dysregulation in the perpetuation of substance use can better inform relapse prevention efforts.
特质失调进一步使高频大麻使用的戒断体验复杂化。了解情感,行为和认知失调在物质使用持续中的作用可以更好地为复发预防工作提供信息。
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引用次数: 0
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Journal of Alcoholism, Drug Abuse and Substance Dependence
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