Drugs for the treatment of schizophrenia have been available for more than 50 years. Even though the older anti psychotic drugs are effective, they have many side effects. Over the years many newer anti psychotics have been developed. One of the most recent anti psychotic drug on the market is Amisulpride. Amisulpride is said to be an "atypical" antipsychotic that induces less movement disorder and is effective for the negative symptoms of schizophrenia. The “negative” symptoms include an inexpressive faces, blank looks, monotone, monosyllabic speech, few gestures, seeming lack of interest in everything, inability to feel pleasure or act spontaneously.
Many physicians have started to prescribe Amisulpride for treating their schizophrenic patients. The overall feeling is that the drug is safe and has fewer side effects compared to the older conventional anti psychotic drugs. However, Amisulpride is a much more expensive compared to the traditional drugs but is the expense worth it?
Cochrane reviews recently looked at several studies that compared Amisulpride with placebo, typical and atypical antipsychotic drugs for schizophrenia. The researchers looked at 19 randomized clinical studies with 2443 individuals. Data from four studies indicated that schizophrenics with negative symptoms did show improvement at doses of up to 300 mg/day. Not only was Amisulpride more effective than a placebo, but also it was better tolerated than the typical anti psychotic drugs. Amisulpride was less prone to cause strange motor symptoms. When Amisulpride was contrasted to one of the other atypical anti psychotic medication. Risperidone, with the exclusion of agitation, which was more common in the Amisulpride group no significant differences were documented on effectiveness or tolerability.
Showing posts with label schizophrenia. Show all posts
Showing posts with label schizophrenia. Show all posts
Friday, July 31, 2009
Monday, July 6, 2009
Can testosterone supplements help relieve schizophrenia?
Schizophrenia is a common malady in our society. Estimates indicate that close to 1% of people in North America suffer from schizophrenia. The disorder affects all races, cultures, and both genders. The disorder is associated with inability to determine what is real. These individuals may develop false beliefs, hallucinations, distorted perceptions and have emotional withdrawal. Over time, most schizophrenics develop apathy.
Over the years, the major treatment for schizophrenia has been based on use of drugs. Each and every pharmaceutical anti psychotic drug available today has its pros and cons; there is no ideal drug and many of these drugs also have profound side effects. In the last two decades, there has been a push by some health workers to recommend sex hormones, estrogen and testosterone, for the treatment of schizophrenia. So far, there is not a single study that has shown a correlation between low levels of testosterone and schizophrenia, and in fact, many individuals with low levels of testosterone never develop schizophrenia. Nevertheless, like all things in medicine, there are always some unorthodox health care workers who view things differently and put into practice unsubstantiated theories.
Over the decades, many individuals with schizophrenia have been treated with dehydroepiandrosterone (DHEA) as an adjunctive therapy to standard anti psychotic drugs.
The question remains, is testosterone helpful for schizophrenia?
Literature analysis of three small studies compared anti psychotic drugs to DHEA and a sugar pill.
What about the results?
There was no evidence that supplementing testosterone benefitted schizophrenics. Even though the number of patients studied was small, there was no benefit seen. Testosterone did not help improve any of the symptoms of schizophrenia. The only positive thing to come out of the study was that short-term use of testosterone was not found to be associated with any harmful side effects.
Therefore, for the moment, schizophrenia is still treated with conventional pharmaceutical drugs and use of sex hormones remains experimental. Individuals who want to use testosterone or any other supplement for schizophrenia should first consult with their psychiatrist. All individuals should be aware that long-term use of testosterone is associated with many side effects including masculinization; a number of side effects are irreversible even when the hormone is stopped
http://www.cochrane.org/reviews/en/ab006197.html
Over the years, the major treatment for schizophrenia has been based on use of drugs. Each and every pharmaceutical anti psychotic drug available today has its pros and cons; there is no ideal drug and many of these drugs also have profound side effects. In the last two decades, there has been a push by some health workers to recommend sex hormones, estrogen and testosterone, for the treatment of schizophrenia. So far, there is not a single study that has shown a correlation between low levels of testosterone and schizophrenia, and in fact, many individuals with low levels of testosterone never develop schizophrenia. Nevertheless, like all things in medicine, there are always some unorthodox health care workers who view things differently and put into practice unsubstantiated theories.
Over the decades, many individuals with schizophrenia have been treated with dehydroepiandrosterone (DHEA) as an adjunctive therapy to standard anti psychotic drugs.
The question remains, is testosterone helpful for schizophrenia?
Literature analysis of three small studies compared anti psychotic drugs to DHEA and a sugar pill.
What about the results?
There was no evidence that supplementing testosterone benefitted schizophrenics. Even though the number of patients studied was small, there was no benefit seen. Testosterone did not help improve any of the symptoms of schizophrenia. The only positive thing to come out of the study was that short-term use of testosterone was not found to be associated with any harmful side effects.
Therefore, for the moment, schizophrenia is still treated with conventional pharmaceutical drugs and use of sex hormones remains experimental. Individuals who want to use testosterone or any other supplement for schizophrenia should first consult with their psychiatrist. All individuals should be aware that long-term use of testosterone is associated with many side effects including masculinization; a number of side effects are irreversible even when the hormone is stopped
http://www.cochrane.org/reviews/en/ab006197.html
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