Atomoxetine for the treatment of executive dysfunction in Parkinson's disease: a pilot open-label study.
Identifieur interne : 001F22 ( PubMed/Curation ); précédent : 001F21; suivant : 001F23Atomoxetine for the treatment of executive dysfunction in Parkinson's disease: a pilot open-label study.
Auteurs : Laura Marsh [États-Unis] ; Kevin Biglan ; Melissa Gerstenhaber ; James R. WilliamsSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2009.
English descriptors
- KwdEn :
- Adrenergic Uptake Inhibitors (administration & dosage), Adrenergic Uptake Inhibitors (adverse effects), Adrenergic Uptake Inhibitors (therapeutic use), Adult, Aged, Antiparkinson Agents (administration & dosage), Antiparkinson Agents (therapeutic use), Bipolar Disorder (chemically induced), Cognition Disorders (drug therapy), Cognition Disorders (etiology), Drug Therapy, Combination, Female, Gastrointestinal Diseases (chemically induced), Humans, Male, Middle Aged, Nootropic Agents (administration & dosage), Nootropic Agents (adverse effects), Nootropic Agents (therapeutic use), Parkinson Disease (complications), Parkinson Disease (psychology), Pilot Projects, Prefrontal Cortex (drug effects), Prefrontal Cortex (physiopathology), Propylamines (administration & dosage), Propylamines (adverse effects), Propylamines (therapeutic use), Psychological Tests, Psychotropic Drugs (administration & dosage), Psychotropic Drugs (therapeutic use), Severity of Illness Index, Treatment Outcome.
- MESH :
- chemical , administration & dosage : Adrenergic Uptake Inhibitors, Antiparkinson Agents, Nootropic Agents, Propylamines, Psychotropic Drugs.
- chemical , adverse effects : Adrenergic Uptake Inhibitors, Nootropic Agents, Propylamines.
- chemical , therapeutic use : Adrenergic Uptake Inhibitors, Antiparkinson Agents, Nootropic Agents, Propylamines, Psychotropic Drugs.
- chemically induced : Bipolar Disorder, Gastrointestinal Diseases.
- complications : Parkinson Disease.
- drug effects : Prefrontal Cortex.
- drug therapy : Cognition Disorders.
- etiology : Cognition Disorders.
- physiopathology : Prefrontal Cortex.
- psychology : Parkinson Disease.
- Adult, Aged, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Pilot Projects, Psychological Tests, Severity of Illness Index, Treatment Outcome.
Abstract
Executive dysfunction (ED) is a prominent and often disabling feature of cognitive impairment in Parkinson's disease (PD). Few studies have examined treatments. Given the role of noradrenergic pathology in ED, atomoxetine, a norepinephrine reuptake inhibitor indicated for attention deficit hyperactivity disorder (ADHD), may be a potential treatment for PD-related ED. Twelve patients with PD and disabling ED completed an 8-week pilot open-label, flexible dose (25-100 mg/day) trial of atomoxetine. On primary outcome measures, atomoxetine was associated with improved ED based on the Clinical Global Impression-Change Scale (75% positive response rate; 95% CI: 43-95%, P < 05) and behavioral measures of ED [Frontal Systems Behavior Scale (FrSBE) Executive Dysfunction and Connors Adult ADHD Rating Scale (CAARS) inattention/memory subscales]. Adverse effects included sleep and gastrointestinal disturbances and hypomania. Atomoxetine is tolerable in PD and may benefit clinical manifestations of ED, warranting further study in controlled trials.
DOI: 10.1002/mds.22307
PubMed: 19025777
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pubmed:19025777Le document en format XML
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<front><div type="abstract" xml:lang="en">Executive dysfunction (ED) is a prominent and often disabling feature of cognitive impairment in Parkinson's disease (PD). Few studies have examined treatments. Given the role of noradrenergic pathology in ED, atomoxetine, a norepinephrine reuptake inhibitor indicated for attention deficit hyperactivity disorder (ADHD), may be a potential treatment for PD-related ED. Twelve patients with PD and disabling ED completed an 8-week pilot open-label, flexible dose (25-100 mg/day) trial of atomoxetine. On primary outcome measures, atomoxetine was associated with improved ED based on the Clinical Global Impression-Change Scale (75% positive response rate; 95% CI: 43-95%, P < 05) and behavioral measures of ED [Frontal Systems Behavior Scale (FrSBE) Executive Dysfunction and Connors Adult ADHD Rating Scale (CAARS) inattention/memory subscales]. Adverse effects included sleep and gastrointestinal disturbances and hypomania. Atomoxetine is tolerable in PD and may benefit clinical manifestations of ED, warranting further study in controlled trials.</div>
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