Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1989-3-7
pubmed:abstractText
At the end of a two-week single-blind placebo baseline, 43 patients with a diagnosis of panic disorder with agoraphobia without significant dysphoria-depression and with moderate to severe panic and phobic symptoms were assigned to, and 32 of them completed, a placebo-controlled (n = 7) dose-response study with three weight-adjusted imipramine hydrochloride dosages: 0.5 mg/kg/d (n = 10), 1.5 mg/kg/d (n = 9), and 3 mg/kg/d (n = 6). Eleven patients, three from the medium-dose and eight from the high-dose conditions, dropped out owing to side effects. No instructions or encouragement for self-directed exposure to phobic situations or other coping strategies with panic or fear were given throughout the trial. Compliance, as assessed by pill counts and by plasma tricyclic levels, was high. Results provided strong evidence for a positive dose-response relationship on panic and phobic symptoms and confirmed earlier suggestions (1) that imipramine without concurrent exposure possesses a significant antipanic and antiphobic effect, (2) that improvement correlates primarily with imipramine but not N-desmethylimipramine plasma levels, and (3) that side effects prevent optimum dose buildup in a substantial proportion of patients with this disorder.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0003-990X
pubmed:author
pubmed:issnType
Print
pubmed:volume
46
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
127-31
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:2643933-Adolescent, pubmed-meshheading:2643933-Adult, pubmed-meshheading:2643933-Aged, pubmed-meshheading:2643933-Agoraphobia, pubmed-meshheading:2643933-Anxiety Disorders, pubmed-meshheading:2643933-Clinical Trials as Topic, pubmed-meshheading:2643933-Dose-Response Relationship, Drug, pubmed-meshheading:2643933-Fear, pubmed-meshheading:2643933-Female, pubmed-meshheading:2643933-Humans, pubmed-meshheading:2643933-Imipramine, pubmed-meshheading:2643933-Male, pubmed-meshheading:2643933-Middle Aged, pubmed-meshheading:2643933-Outcome and Process Assessment (Health Care), pubmed-meshheading:2643933-Panic, pubmed-meshheading:2643933-Personality Inventory, pubmed-meshheading:2643933-Phobic Disorders, pubmed-meshheading:2643933-Placebos, pubmed-meshheading:2643933-Psychiatric Status Rating Scales
pubmed:year
1989
pubmed:articleTitle
Imipramine dose-response relationship in panic disorder with agoraphobia. Preliminary findings.
pubmed:affiliation
Department of Psychiatry, College of Medicine, Ohio State University, Columbus 43210.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial