Tolerability of paroxetine in Parkinson's disease: A prospective study
Identifieur interne : 004932 ( Main/Exploration ); précédent : 004931; suivant : 004933Tolerability of paroxetine in Parkinson's disease: A prospective study
Auteurs : Silvana Tesei [Italie] ; Angelo Antonini [Italie] ; Margherita Canesi [Italie] ; Anna Zecchinelli [Italie] ; Claudio B. Mariani [Italie] ; Gianni Pezzoli [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée.
English descriptors
- KwdEn :
- Aged, Antidepressant agent, Antiparkinson Agents (therapeutic use), Chemotherapy, Clinical Protocols, Complication, Depression, Depression (drug therapy), Depression (etiology), Dose-Response Relationship, Drug, Drug Therapy, Combination, Elderly, Female, Humans, Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Parkinson's, Paroxetine, Paroxetine (administration & dosage), Paroxetine (adverse effects), Paroxetine (therapeutic use), Piperidine derivatives, Prospective Studies, Reuptake inhibitor, SSRI, Safety, Serotonin, Serotonin Uptake Inhibitors (administration & dosage), Serotonin Uptake Inhibitors (adverse effects), Serotonin Uptake Inhibitors (therapeutic use), Tolerability, Toxicity, Treatment, Treatment Outcome, disease.
- MESH :
- chemical , administration & dosage : Paroxetine, Serotonin Uptake Inhibitors.
- chemical , adverse effects : Paroxetine, Serotonin Uptake Inhibitors.
- chemical , therapeutic use : Antiparkinson Agents, Paroxetine, Serotonin Uptake Inhibitors.
- complications : Parkinson Disease.
- drug therapy : Depression, Parkinson Disease.
- etiology : Depression.
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- Aged, Clinical Protocols, Dose-Response Relationship, Drug, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Prospective Studies, Treatment Outcome.
Abstract
Depression is a common finding in patients with Parkinson's disease (PD). Traditionally, depression has been treated with tricyclic antidepressants, which are often associated with undesirable side effects that may limit their use in PD. Few studies have been performed with selective serotonin reuptake inhibitors (SSRIs) in these patients. We assessed the tolerability of the SSRI antidepressant paroxetine (10–20 mg once per day) in 65 outpatients with PD and depression for a period of at least 3 months. Treatment was continued for 125.3 ± 89.6 days (mean ± standard deviation) in 52 patients. In these subjects the Hamilton Disease Rating Scale improved from 21.7 ± 6.4 to 13.8 ± 5.8 (p <0.001). Overall, 13 patients stopped paroxetine after 9.6 ± 10.6 days because of adverse reactions. Two patients reported increased “off” time and tremor that reversed after treatment was stopped. No risk factors for intolerance were identified. Paroxetine is a safe and effective drug to treat depression in PD.
Url:
DOI: 10.1002/1531-8257(200009)15:5<986::AID-MDS1034>3.0.CO;2-I
Affiliations:
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Le document en format XML
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<term>Clinical Protocols</term>
<term>Complication</term>
<term>Depression</term>
<term>Depression (drug therapy)</term>
<term>Depression (etiology)</term>
<term>Dose-Response Relationship, Drug</term>
<term>Drug Therapy, Combination</term>
<term>Elderly</term>
<term>Female</term>
<term>Humans</term>
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<term>Paroxetine (administration & dosage)</term>
<term>Paroxetine (adverse effects)</term>
<term>Paroxetine (therapeutic use)</term>
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<term>Reuptake inhibitor</term>
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<term>Serotonin Uptake Inhibitors (therapeutic use)</term>
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<term>Toxicity</term>
<term>Treatment</term>
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<term>Paroxetine</term>
<term>Serotonin Uptake Inhibitors</term>
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<front><div type="abstract" xml:lang="en">Depression is a common finding in patients with Parkinson's disease (PD). Traditionally, depression has been treated with tricyclic antidepressants, which are often associated with undesirable side effects that may limit their use in PD. Few studies have been performed with selective serotonin reuptake inhibitors (SSRIs) in these patients. We assessed the tolerability of the SSRI antidepressant paroxetine (10–20 mg once per day) in 65 outpatients with PD and depression for a period of at least 3 months. Treatment was continued for 125.3 ± 89.6 days (mean ± standard deviation) in 52 patients. In these subjects the Hamilton Disease Rating Scale improved from 21.7 ± 6.4 to 13.8 ± 5.8 (p <0.001). Overall, 13 patients stopped paroxetine after 9.6 ± 10.6 days because of adverse reactions. Two patients reported increased “off” time and tremor that reversed after treatment was stopped. No risk factors for intolerance were identified. Paroxetine is a safe and effective drug to treat depression in PD.</div>
</front>
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<tree><country name="Italie"><region name="Lombardie"><name sortKey="Tesei, Silvana" sort="Tesei, Silvana" uniqKey="Tesei S" first="Silvana" last="Tesei">Silvana Tesei</name>
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<name sortKey="Antonini, Angelo" sort="Antonini, Angelo" uniqKey="Antonini A" first="Angelo" last="Antonini">Angelo Antonini</name>
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<name sortKey="Mariani, Claudio B" sort="Mariani, Claudio B" uniqKey="Mariani C" first="Claudio B." last="Mariani">Claudio B. Mariani</name>
<name sortKey="Pezzoli, Gianni" sort="Pezzoli, Gianni" uniqKey="Pezzoli G" first="Gianni" last="Pezzoli">Gianni Pezzoli</name>
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