Source:http://linkedlifedata.com/resource/pubmed/id/15610956
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2004-12-21
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pubmed:abstractText |
In an open-label study, 13 patients taking depot antipsychotic medication for greater than 3 years were switched to oral olanzapine. The first 3-month experience has been previously reported. We now describe a second 3-month experience and integrate our observations into a cumulative 6-month report. Monthly, we assessed patients using clinical ratings [Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Mini-Mental State Exam (MMSE), and Clinical Global Improvement Scale (CGI)] and side effect parameters [Abnormal Involuntary Movement Scale (AIMS), Association for Methodology and Documentation in Psychiatry psychotropic side effect rating scale (AMDP-5), and weights]. Olanzapine patients showed statistically significant improvement (baseline to endpoint sixth month) in GAF (p=0.015), MMSE (p=0.022), CGI improvement, and AIMS (p=0.038). There was no statistically significant change in PANSS, CGI severity, or AMDP-5 overall side effects. Weight gain over 6 months averaged 8.9 lb. All patients completed the study. Compliance was estimated at 90%, and 81% of patients chose to continue on the oral olanzapine. One patient was hospitalized at the conclusion of the study. Our findings suggest that clinicians may consider oral olanzapine as a viable alternative to depot antipsychotic medications, balancing clinical improvement in some clinical measures with lack of improvement in other clinical measures; and balancing improvement in abnormal involuntary movements with weight gain and its sequelae.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0278-5846
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
141-4
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:15610956-Adult,
pubmed-meshheading:15610956-Antipsychotic Agents,
pubmed-meshheading:15610956-Benzodiazepines,
pubmed-meshheading:15610956-Delayed-Action Preparations,
pubmed-meshheading:15610956-Dose-Response Relationship, Drug,
pubmed-meshheading:15610956-Female,
pubmed-meshheading:15610956-Humans,
pubmed-meshheading:15610956-Male,
pubmed-meshheading:15610956-Middle Aged,
pubmed-meshheading:15610956-Patient Acceptance of Health Care,
pubmed-meshheading:15610956-Psychiatric Status Rating Scales,
pubmed-meshheading:15610956-Schizophrenia,
pubmed-meshheading:15610956-Treatment Outcome,
pubmed-meshheading:15610956-Weight Gain
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pubmed:year |
2005
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pubmed:articleTitle |
Switching depot antipsychotic drug responders to oral olanzapine.
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pubmed:affiliation |
Department of Veterans Affairs Medical Center, Louisville, KY, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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