Movement Disorders (revue)

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A pilot tolerability and efficacy trial of sodium oxybate in ethanol-responsive movement disorders.

Identifieur interne : 001296 ( Ncbi/Curation ); précédent : 001295; suivant : 001297

A pilot tolerability and efficacy trial of sodium oxybate in ethanol-responsive movement disorders.

Auteurs : Steven J. Frucht [États-Unis] ; Yvette Bordelon ; William H. Houghton ; Dayton Reardan

Source :

RBID : pubmed:15986420

English descriptors

Abstract

Sodium oxybate is currently approved in the United States exclusively for the treatment of cataplexy in narcoleptic patients. In a prior article published in this journal, we reported a patient with severe posthypoxic myoclonus whose myoclonus improved with ethanol and also with treatment with sodium oxybate. We extend this preliminary observation to five other patients with ethanol-responsive movement disorders in an open-label, dose-titration, add-on, 8-week trial. All five patients (one with severe alcohol-responsive posthypoxic myoclonus, two with epsilon-sarcoglycan-linked myoclonus-dystonia, and two with essential tremor) experienced improvement from baseline of 50% or greater as measured by blinded videotape review. Tolerability was satisfactory, with dose-dependent sedation as the most common side effect. Further studies of this drug in hyperkinetic movement disorders are warranted.

DOI: 10.1002/mds.20605
PubMed: 15986420

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Le document en format XML

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<term>Adjuvants, Anesthesia (adverse effects)</term>
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<term>Adult</term>
<term>Aged</term>
<term>Central Nervous System Depressants (adverse effects)</term>
<term>Central Nervous System Depressants (therapeutic use)</term>
<term>Drug Administration Schedule</term>
<term>Drug Therapy, Combination</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (drug therapy)</term>
<term>Essential Tremor (diagnosis)</term>
<term>Essential Tremor (drug therapy)</term>
<term>Ethanol (adverse effects)</term>
<term>Ethanol (therapeutic use)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Myoclonus (diagnosis)</term>
<term>Myoclonus (drug therapy)</term>
<term>Pilot Projects</term>
<term>Severity of Illness Index</term>
<term>Sodium Oxybate (adverse effects)</term>
<term>Sodium Oxybate (therapeutic use)</term>
<term>Treatment Outcome</term>
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<term>Sodium Oxybate</term>
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<term>Central Nervous System Depressants</term>
<term>Ethanol</term>
<term>Sodium Oxybate</term>
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<term>Dystonia</term>
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<div type="abstract" xml:lang="en">Sodium oxybate is currently approved in the United States exclusively for the treatment of cataplexy in narcoleptic patients. In a prior article published in this journal, we reported a patient with severe posthypoxic myoclonus whose myoclonus improved with ethanol and also with treatment with sodium oxybate. We extend this preliminary observation to five other patients with ethanol-responsive movement disorders in an open-label, dose-titration, add-on, 8-week trial. All five patients (one with severe alcohol-responsive posthypoxic myoclonus, two with epsilon-sarcoglycan-linked myoclonus-dystonia, and two with essential tremor) experienced improvement from baseline of 50% or greater as measured by blinded videotape review. Tolerability was satisfactory, with dose-dependent sedation as the most common side effect. Further studies of this drug in hyperkinetic movement disorders are warranted.</div>
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