Amantadine is beneficial in restless legs syndrome
Identifieur interne : 004B51 ( Main/Exploration ); précédent : 004B50; suivant : 004B52Amantadine is beneficial in restless legs syndrome
Auteurs : Virgilio Gerald H. Evidente [États-Unis] ; Charles H. Adler [États-Unis] ; John N. Caviness [États-Unis] ; Joseph G. Hentz [États-Unis] ; Katrina Gwinn-Hardy [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Amantadine, Amantadine (administration & dosage), Amantadine (adverse effects), Chemotherapy, Dopamine Agents (administration & dosage), Dopamine Agents (adverse effects), Dopamine agonist, Dose-Response Relationship, Drug, Drug Administration Schedule, Evolution, Female, Human, Humans, Male, Middle Aged, RLS, Restless Legs Syndrome (diagnosis), Restless Legs Syndrome (drug therapy), Restless legs syndrome, Somnolence, Toxicity, Treatment, Treatment Outcome.
- MESH :
- chemical , administration & dosage : Amantadine, Dopamine Agents.
- chemical , adverse effects : Amantadine, Dopamine Agents.
- diagnosis : Restless Legs Syndrome.
- drug therapy : Restless Legs Syndrome.
- Aged, Aged, 80 and over, Dose-Response Relationship, Drug, Drug Administration Schedule, Female, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
Twenty‐one patients (mean age 70 yrs) with restless legs syndrome (RLS) were treated with amantadine in an open‐label trial. Amantadine was started at 100 mg per day and was increased every 3–5 days by 100 mg (up to a maximum of 300 mg per day) until significant relief of symptoms or intolerable side effects were experienced. Patients were rated pre‐ and posttreatment using an RLS rating scale (0–10). Each patient also rated the degree of response in a continuous scale from 0% (no improvement) to 100% (complete improvement). Eleven of 21 (52%) had subjective benefit to amantadine, with degree of response ranging from 25%–100% (mean 69%) among responders. Six had 95%–100% improvement. The RLS score for all 21 patients dropped from a mean (± standard deviation) of 9.8 ± 0.6 (range, 8–10) pretreatment to 6.6 ± 3.8 (range, 0–10) posttreatment (p = 0.001). The duration of response was 0–13 months (mean, 3.6 ± 4.5), with nine responders still remaining on the drug as of last follow up. The mean effective dose was 227 mg per day. The most common side effects were drowsiness (3), fatigue (2), and insomnia (2); only two stopped amantadine because of side effects. We conclude that amantadine is an effective and well‐tolerated drug for RLS.
Url:
DOI: 10.1002/1531-8257(200003)15:2<324::AID-MDS1020>3.0.CO;2-4
Affiliations:
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Le document en format XML
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<term>Aged, 80 and over</term>
<term>Amantadine</term>
<term>Amantadine (administration & dosage)</term>
<term>Amantadine (adverse effects)</term>
<term>Chemotherapy</term>
<term>Dopamine Agents (administration & dosage)</term>
<term>Dopamine Agents (adverse effects)</term>
<term>Dopamine agonist</term>
<term>Dose-Response Relationship, Drug</term>
<term>Drug Administration Schedule</term>
<term>Evolution</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>RLS</term>
<term>Restless Legs Syndrome (diagnosis)</term>
<term>Restless Legs Syndrome (drug therapy)</term>
<term>Restless legs syndrome</term>
<term>Somnolence</term>
<term>Toxicity</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Amantadine</term>
<term>Dopamine Agents</term>
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<term>Dopamine Agents</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Restless Legs Syndrome</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Restless Legs Syndrome</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Drug Administration Schedule</term>
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<term>Male</term>
<term>Middle Aged</term>
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<term>Homme</term>
<term>Impatience membre inférieur syndrome</term>
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<term>Stimulant dopaminergique</term>
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<front><div type="abstract" xml:lang="en">Twenty‐one patients (mean age 70 yrs) with restless legs syndrome (RLS) were treated with amantadine in an open‐label trial. Amantadine was started at 100 mg per day and was increased every 3–5 days by 100 mg (up to a maximum of 300 mg per day) until significant relief of symptoms or intolerable side effects were experienced. Patients were rated pre‐ and posttreatment using an RLS rating scale (0–10). Each patient also rated the degree of response in a continuous scale from 0% (no improvement) to 100% (complete improvement). Eleven of 21 (52%) had subjective benefit to amantadine, with degree of response ranging from 25%–100% (mean 69%) among responders. Six had 95%–100% improvement. The RLS score for all 21 patients dropped from a mean (± standard deviation) of 9.8 ± 0.6 (range, 8–10) pretreatment to 6.6 ± 3.8 (range, 0–10) posttreatment (p = 0.001). The duration of response was 0–13 months (mean, 3.6 ± 4.5), with nine responders still remaining on the drug as of last follow up. The mean effective dose was 227 mg per day. The most common side effects were drowsiness (3), fatigue (2), and insomnia (2); only two stopped amantadine because of side effects. We conclude that amantadine is an effective and well‐tolerated drug for RLS.</div>
</front>
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<tree><country name="États-Unis"><region name="Arizona"><name sortKey="Evidente, Virgilio Gerald H" sort="Evidente, Virgilio Gerald H" uniqKey="Evidente V" first="Virgilio Gerald H." last="Evidente">Virgilio Gerald H. Evidente</name>
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<name sortKey="Adler, Charles H" sort="Adler, Charles H" uniqKey="Adler C" first="Charles H." last="Adler">Charles H. Adler</name>
<name sortKey="Caviness, John N" sort="Caviness, John N" uniqKey="Caviness J" first="John N." last="Caviness">John N. Caviness</name>
<name sortKey="Gwinn Ardy, Katrina" sort="Gwinn Ardy, Katrina" uniqKey="Gwinn Ardy K" first="Katrina" last="Gwinn-Hardy">Katrina Gwinn-Hardy</name>
<name sortKey="Gwinn Ardy, Katrina" sort="Gwinn Ardy, Katrina" uniqKey="Gwinn Ardy K" first="Katrina" last="Gwinn-Hardy">Katrina Gwinn-Hardy</name>
<name sortKey="Hentz, Joseph G" sort="Hentz, Joseph G" uniqKey="Hentz J" first="Joseph G." last="Hentz">Joseph G. Hentz</name>
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