DOCSLIB.ORG

Pharmaceuticals and Medical Devices Safety Information No

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pharmaceuticals and Medical Devices Safety Information No Pharmaceuticals and Medical Devices Safety Information No. 260 August 2009 Table of Contents 1. Tricyclic and tetracyclic antidepressants, associated with aggression ................................................................................................... 3 2. Important Safety Information .................................................................. 9 .1. Telmisartan ··························································································· 9 .2. Phenytoin, Phenytoin/Phenobarbital, Phenytoin/Phenobarbital/ Caffeine and Sodium Benzoate, Phenytoin Sodium ··························· 13 3. Revision of PRECAUTIONS (No. 208) Lamotrigine (and 9 others) ············································································ 17 4. List of products subject to Early Post-marketing Phase Vigilance ..................................................... 21 This Pharmaceuticals and Medical Devices Safety Information (PMDSI) is issued based on safety information collected by the Ministry of Health, Labour and Welfare. It is intended to facilitate safer use of pharmaceuticals and medical devices by healthcare providers. PMDSI is available on the Pharmaceuticals and Medical Devices Agency website (http://www.pmda.go.jp/english/index.html) and on the MHLW website (http://www.mhlw.go.jp/, Japanese only). Published by Translated by Pharmaceutical and Food Safety Bureau, Pharmaceuticals and Medical Devices Agency Ministry of Health, Labour and Welfare Pharmaceutical and Food Safety Bureau, Office of Safety I, Ministry of Health, Labour and Welfare Pharmaceuticals and Medical Devices Agency 1-2-2 Kasumigaseki, Chiyoda-ku, Tokyo 3-3-2 Kasumigaseki, Chiyoda-ku, Tokyo 100-8916 Japan 100-0013 Japan E-mail: [email protected] This translation of the original Japanese text is for information purpose only (in the event of inconsistency, the Japanese text shall prevail). Pharmaceuticals and Medical Devices Safety Information No. 260 August 2009 Pharmaceutical and Food Safety Bureau, Ministry of Health, Labour and Welfare, Japan [Outline of Information] No. Subject Measures Outline of information Page Following a recent review of adverse reaction reports of aggression, regarding harmful behavior to others including Tricyclic and injury, associated with tricyclic antidepressants, tetracyclic tetracyclic P antidepressants, trazodone hydrochloride, and sulpiride, 1 antidepressants, MHLW considered it necessary to call for a similar alert to 3 associated with C that used for SSRIs and SNRIs. Thus, on July3, 2009, aggression MHLW required relevant companies to revise PRECAUTIONS of package inserts. Details of these safety measures are described hereinafter. Presents contents of revisions and a summary of cases that served as the basis for these revisions to important adverse Telmisartan (and 1 P 2 reactions included under the PRECAUTIONS section of 9 other case) C package inserts of drugs that have been revised in accordance with the Notification dated July 3, 2009. Lamotrigine (and 9 3 Revision of PRECAUTIONS (No. 208) 17 other cases) Products subject to Lists products subject to Early Post-marketing Phase 4 Early Post-marketing Vigilance as of August 1, 2009. 21 Phase Vigilance D: Distribution of Dear Healthcare Professional Letters P: Revision of PRECAUTIONS C: Case Reports To Pharmaceuticals and Medical Devices Safety Management Supervisor —Please use our e-mail alert service— Pharmaceuticals and Medical Devices Agency is providing a “Pharmaceuticals and Medical Devices Information E-mail Alert Service” (http://www.info.pmda.go.jp/info/idx-push.html, Japanese only), when important safety information regarding pharmaceuticals and medical devices including Dear Healthcare Professional Letters or Revision of PRECAUTIONS is issued. You are encouraged to register to and use the service. Reporting of safety information such as adverse reactions to the Minister of Health, Labour and Welfare is a duty of medical and pharmaceutical providers. If medical and pharmaceutical providers such as physicians, dentists, and pharmacists detect adverse reactions, infections associated with drugs or medical devices, or medical device adverse events, they are obligated to report them to the Minister of Health, Labour and Welfare directly or through the marketing authorisation holder. As medical and pharmaceutical providers, drug retailers with a second-class license and household distributors are also required to report safety issues related to drugs and medical devices. Pharmaceuticals and Medical Devices Safety Information No. 260 - 2 - August 2009 1 Tricyclic and tetracyclic antidepressants, associated with aggression Active ingredient Brand name (name of company) Amitriptyline hydrochloride Tryptanol Tablets 10 and 25 (Banyu Pharmaceutical Co., Ltd.), Amiplin Tablets (10 mg) (Kobayashi Kako Co., Ltd.), Normaln Tablets 10 mg and 25 mg (Sawai Pharmaceutical Co., Ltd.) Amoxapine Amoxan Fine Granules 10%, Amoxan Capsules 10 mg, 25 mg, and 50 mg (Wyeth K.K.) Imipramine hydrochloride Imidol Sugar-Coated Tablets (10 and 25) (Mitsubishi Tanabe Pharma Corporation), Tofranil Tablets 10 mg and 25 mg (Novartis Pharma K.K.) Clomipramine hydrochloride Anafranil Tablets 10 mg and 25 mg (Alfresa (oral) Pharma Corporation) Clomipramine hydrochloride Anafranil Intravenous Infusion 25 mg (Alfresa (injection) Pharma Corporation) Setiptiline maleate Tecipul Tablets 1 mg (Mochida Pharmaceutical Co., Ltd.), Bisopool Tablets 1 mg (Medisa Shinyaku Inc.) Active ingredient Prothiaden Tablets 25 (Kaken Pharmaceutical Brand name Dosulepin hydrochloride Co., Ltd.) (name of company) Trazodone hydrochloride Desyrel Tablets 25 and 50 (Pfizer Japan Inc.), Reslin Tablets 25 and 50 (Schering-Plough K.K.), Undepre Tablets 25 mg and 50 mg (Kyowa Pharmaceutical Industry Co., Ltd.) Trimipramine maleate Surmontil Powder 10%, Surmontil Tablets 10 mg and 25 mg (Shionogi & Co., Ltd.) Nortriptyline hydrochloride Noritren Tablets 10 mg and 25 mg (Dainippon Sumitomo Pharma Co., Ltd.) Maprotiline hydrochloride Ludiomil Tablets 10 mg, 25 mg, and 50 mg (Novartis Pharma K.K.), Cronmolin Tablets 10 mg, 25 mg, and 50 mg (Takata Seiyaku Co., Ltd.), Neuomil Tablets 10 mg, 25 mg, and 50 mg (Kyowa Pharmaceutical Industry Co., Ltd.), Mapromil Tablets 10 mg (Kobayashi Kako Co., Ltd.) Mianserin hydrochloride Tetramide Tablets 10 mg and 30 mg (Schering-Plough K.K.) Lofepramine hydrochloride Amplit Tablets 10 mg and 25 mg (Daiichi Sankyo Co. Ltd.) Therapeutic category Psychotropics Amitriptyline hydrochloride Depression/depressed state in the psychiatric domain and nocturnal enuresis Indications Amoxapine, setiptiline maleate, trazodone hydrochloride, maprotiline hydrochloride, mianserin hydrochloride, and lofepramine hydrochloride Depression/depressed state Pharmaceuticals and Medical Devices Safety Information No. 260 - 3 - August 2009 Imipramine hydrochloride Depression/depressed state in the psychiatric domain Enuresis (daytime or nighttime) Clomipramine hydrochloride (oral) Depression/depressed state in the psychiatric domain Enuresis Clomipramine hydrochloride (injection), trimipramine maleate Depression/depressed state in the psychiatric domain Dosulepin hydrochloride Depression and depressed state Nortriptyline hydrochloride Depression and depressed state in the psychiatric domain (endogenous depression, reactive depression, involutional depression, neurotic depressed state, or depressed state of brain organic mental disorder) 1. Introduction Following a recent review of adverse reaction reports of aggression, regarding harmful behavior to others including injury associated with selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs), MHLW confirmed the necessity of alerting patients, their families and caregivers to pay due attention to changes in the patient’s condition during the course of treatment. In line with this, on May 8, 2009 MHLW required relevant companies to revise PRECAUTIONS in package inserts. (See “Pharmaceuticals and Medical Devices Safety Information No. 258, June 2009”.) The antidepressants approved in Japan other than SSRIs and SNRIs include the following 13 active ingredients: tricyclic antidepressants (amitriptyline hydrochloride, amoxapine, imipramine hydrochloride, clomipramine hydrochloride [oral and injection], dosulepin hydrochloride, trimipramine maleate, nortriptyline hydrochloride, and lofepramine hydrochloride), tetracyclic antidepressants (setiptiline maleate, maprotiline hydrochloride, and mianserin hydrochloride), trazodone hydrochloride, and sulpiride. MHLW recently reviewed adverse reaction reports of aggression, regarding harmful behavior to others including injury, associated with antidepressants containing any of these 13 ingredients to consider the necessity of calling for a similar alert to that for SSRIs and SNRIs, and concluded that such needed to be issued for the 12 ingredients except for sulpiride. On July 3, 2009, MHLW required marketing authorization holders (MAHs) to revise PRECAUTIONS in package inserts. Details of these safety measures, etc. are described hereinafter. Pharmaceuticals and Medical Devices Safety Information No. 260 - 4 - August 2009 2. Reported adverse reactions including hostility/aggression and details of safety measures The table below summarizes the number of adverse reaction reports regarding hostility/aggression (MedDRA/J) associated with tricyclic antidepressants, tetracyclic antidepressants, trazodone hydrochloride, or sulpiride between the day of launch
Load more

Recommended publications
  • What's the Best First Line Anticonvulsant?
    What’s the best first line anticonvulsant? Stephen Hanson, DVM, MS, Dip. ACVIM (Neurology) Recurring seizure activity is a relatively common problem in canine patients. Nowadays, there are several good options for medical treatment, which makes the choice of which drug to use a little more complicated. All anticonvulsant drugs have advantages and disadvantages, so the selection of a first-line drug should be tailored for the individual patient and client. Phenobarbital: This has been the standard first choice drug for decades. The nice thing about Phenobarbital is that it works fairly well, controlling seizures in about 70% of dogs with epilepsy. Also, it is inexpensive and readily available. The biggest down-sides are its induction of hepatic metabolism and the need for frequent upward dose adjustments, as well as its potential to cause hepatotoxicity. The potential for liver disease increases with time, so a 2 year old dog placed on this medication is more likely to develop hepatotoxicity in his life-time than a 10 year old dog. Phenobarbital can also cause sedation and ataxia. While this is usually mild/transient, it can be a real problem in dogs with other pre- existing signs of intracranial disease. Polyuria, polydipsia and polyphagia are other common side effects. These signs vary widely in severity between patients. Pros: cheap, available at any corner pharmacy, works well Cons: higher doses required with time, possible serious liver side-effects Good first-line choice for middle-aged to older dogs without any pre-existing liver issues Poor choice for dogs with liver disease, dogs with other intracranial signs Questionable choice for young epileptic dogs Potassium/sodium bromide: This was the most commonly-used add on anticonvulsant drug for a long time.
    [Show full text]
  • New Developments in Prokinetic Therapy for Gastric Motility Disorders
    REVIEW published: 24 August 2021 doi: 10.3389/fphar.2021.711500 New Developments in Prokinetic Therapy for Gastric Motility Disorders Michael Camilleri* and Jessica Atieh Clinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States Prokinetic agents amplify and coordinate the gastrointestinal muscular contractions to facilitate the transit of intra-luminal content. Following the institution of dietary recommendations, prokinetics are the first medications whose goal is to improve gastric emptying and relieve symptoms of gastroparesis. The recommended use of metoclopramide, the only currently approved medication for gastroparesis in the United States, is for a duration of less than 3 months, due to the risk of reversible or irreversible extrapyramidal tremors. Domperidone, a dopamine D2 receptor antagonist, is available for prescription through the FDA’s program for Expanded Access to Investigational Drugs. Macrolides are used off label and are associated with tachyphylaxis and variable duration of efficacy. Aprepitant relieves some symptoms of gastroparesis. There are newer agents in the pipeline targeting diverse gastric (fundic, antral and pyloric) motor functions, including novel serotonergic 5-HT4 agonists, dopaminergic D2/3 antagonists, neurokinin NK1 antagonists, and ghrelin agonist. Novel Edited by: targets with potential to improve gastric motor functions include the pylorus, macrophage/ Jan Tack, inflammatory function, oxidative
    [Show full text]
  • Prokinetics and Ghrelin for the Management of Cancer Cachexia Syndrome
    85 Review Article Prokinetics and ghrelin for the management of cancer cachexia syndrome Jimi S. Malik, Sriram Yennurajalingam Department of Palliative Care, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA Contributions: (I) Conception and design: All authors; (II) Administrative support: S Yennurajalingam; (III) Provision of study materials or patients: S Yennurajalingam; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Sriram Yennurajalingam, MD. Department of Palliative Care, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1414, Houston, TX 77030, USA. Email: [email protected]. Abstract: Cancer cachexia (CC) is one of the most distressing syndromes for both patients and their families. CC can have an impact on patient reported quality of life and overall survival. It is often associated with symptoms such as fatigue, depressed mood, early satiety, and anorexia. Prokinetic agents have been found to improve chronic nausea and early satiety associated with CC. Among the prokinetic agents, metoclopramide is one of the best studied medications. The role of the other prokinetic agents, such as domperidone, erythromycin, haloperidol, levosulpiride, tegaserod, cisapride, mosapride, renzapride, and prucalopride is unclear for use in cachectic cancer patients due to their side effect profile and limited efficacy studies in cancer patients. There has been an increased interest in the use of ghrelin-receptor agonists for the treatment of CC. Anamorelin HCl is a highly selective, novel ghrelin receptor agonist.
    [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 De Juan Et Al
    US 200601 10428A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 de Juan et al. (43) Pub. Date: May 25, 2006 (54) METHODS AND DEVICES FOR THE Publication Classification TREATMENT OF OCULAR CONDITIONS (51) Int. Cl. (76) Inventors: Eugene de Juan, LaCanada, CA (US); A6F 2/00 (2006.01) Signe E. Varner, Los Angeles, CA (52) U.S. Cl. .............................................................. 424/427 (US); Laurie R. Lawin, New Brighton, MN (US) (57) ABSTRACT Correspondence Address: Featured is a method for instilling one or more bioactive SCOTT PRIBNOW agents into ocular tissue within an eye of a patient for the Kagan Binder, PLLC treatment of an ocular condition, the method comprising Suite 200 concurrently using at least two of the following bioactive 221 Main Street North agent delivery methods (A)-(C): Stillwater, MN 55082 (US) (A) implanting a Sustained release delivery device com (21) Appl. No.: 11/175,850 prising one or more bioactive agents in a posterior region of the eye so that it delivers the one or more (22) Filed: Jul. 5, 2005 bioactive agents into the vitreous humor of the eye; (B) instilling (e.g., injecting or implanting) one or more Related U.S. Application Data bioactive agents Subretinally; and (60) Provisional application No. 60/585,236, filed on Jul. (C) instilling (e.g., injecting or delivering by ocular ion 2, 2004. Provisional application No. 60/669,701, filed tophoresis) one or more bioactive agents into the Vit on Apr. 8, 2005. reous humor of the eye. Patent Application Publication May 25, 2006 Sheet 1 of 22 US 2006/0110428A1 R 2 2 C.6 Fig.
    [Show full text]
  • Letters to the Editor
    Letters to the Editor Letters to the Editor Need for a New Framework to Understand lactin levels were high (115 mg/L; normal range, 12–30 mg/L). the© MechanismCopyright of All Antipsychotics 2000 PhysiciansAttempts Postgraduate to reduce dosage below Press, 80 mg/day resultedInc. in relapse, with good recovery when dosage was restored. Sir: The advent of atypical neuroleptics has transformed the A SPECT study was performed using a dual-headed camera pharmacologic treatment of schizophrenia. The advent of single and 185 MBq of 123-Iodobenzamide (IBZM). The specific-to- photon emission computed tomography (SPECT) and positron nonspecific binding ratio was measured at 90 minutes postinjec- emission tomography (PET) neuroreceptor imaging makes it tion. The SPECT was performed a week after a PET analysis possible to link biochemical events in the human brain to their was kindly performed in Dr. Kapur’s laboratory while the pa- clinical consequences. Remington and Kapur1 (supplement 10, tient received 90 mg/day of haloperidol. No detectable recep- 1999) have proposed an interesting model based on studies us- tors at this dosage were found with either technique. ing PET that takes in account the serotonin-2/dopamine-2 Our findings lead us to wonder whether there exists a sub- group of chronic patients resistant to conventional and some (5-HT2/D2) occupancy threshold: conventional antipsychotics atypical neuroleptics in normal doses, but who may respond have low 5-HT2/high D2 ratios, olanzapine and risperidone have well to conventional neuroleptics in high doses. Despite a high high 5-HT2/high D2 ratios, clozapine has a high 5-HT2/low D2 2,3 One personal copy maylevel be of printed striatal D occupancy, our patient did not present with ratio, and quetiapine has a low 5-HT2/low D2 ratio.
    [Show full text]
  • Stimulatory Action of Telmisartan, an Antagonist of Angiotensin II Receptor, on Voltage-Gated Na+ Current: Experimental and Theoretical Studies
    Chinese Journal of Physiology 61(1): 1-13, 2018 1 DOI: 10.4077/CJP.2018.BAG516 Stimulatory Action of Telmisartan, an Antagonist of Angiotensin II Receptor, on Voltage-Gated Na+ Current: Experimental and Theoretical Studies Tzu-Tung Chang, Chia-Jung Yang, Yu-Chi Lee, and Sheng-Nan Wu Department of Physiology, National Cheng Kung University Medical College, Tainan 70101, Taiwan, Republic of China Abstract Telmisartan (Tel) is recognized as a non-peptide blocker of AT1R. Whether this agent has any direct effects on ion currents remains unexplored. In whole-cell current recordings, addition of Tel + increased the peak amplitude of voltage-gated Na (NaV) current (INa) accompanied by the increased time constant of INa inactivation in differentiated NSC-34 motor neuron-like cells. Tel-stimulated INa in these cells is unlinked to either blockade of AT1R or activation of peroxisome proliferator-activated receptor gamma (PPAR-γ). In order to explore how this compound affects the amplitude and kinetics of INa in neurons, a Hodgkin-Huxley-based (HH-based) model designed to mimic effect of Tel on the functional activities of neurons was computationally created in this study. In this framework, the parameter for h inactivation gating variable, which was changed in a stepwise fashion, was implemented + + to predict changes in membrane potentials (V) as a function of maximal Na (GNa), K conductance (GK), or both. As inactivation time course of INa was increased, the bifurcation point of V versus GNa became lower, and the range between subcritical and supercritical values at the bifurcation of V versus GK correspondingly became larger.
    [Show full text]
  • Calcium Channel Blocker As a Drug Candidate for the Treatment of Generalised Epilepsies
    UNIVERSITAT DE BARCELONA Faculty of Pharmacy and Food Sciences Calcium channel blocker as a drug candidate for the treatment of generalised epilepsies Final degree project Author: Janire Sanz Sevilla Bachelor's degree in Pharmacy Primary field: Organic Chemistry, Pharmacology and Therapeutics Secondary field: Physiology, Pathophysiology and Molecular Biology March 2019 This work is licensed under a Creative Commons license ABBREVIATIONS AED antiepileptic drug AMPA α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid ANNA-1 antineuronal nuclear antibody 1 BBB blood-brain barrier Bn benzyl BnBr benzyl bromide BnNCO benzyl isocyanate Boc tert-butoxycarbonyl Bu4NBr tetrabutylammonium bromide Ca+2 calcium ion CACNA1 calcium channel voltage-dependent gene cAMP cyclic adenosine monophosphate CCB calcium channel blocker cGMP cyclic guanosine monophosphate CH3CN acetonitrile Cl- chlorine ion Cmax maximum concentration CMV cytomegalovirus CTScan computed axial tomography DCM dichloromethane DIPEA N,N-diisopropylethylamine DMF dimethylformamide DMPK drug metabolism and pharmacokinetics DNET dysembryoplastic neuroepithelial tumours EEG electroencephalogram EPSP excitatory post-synaptic potential FDA food and drug administration Fe iron FLIPR fluorescence imaging plate reader fMRI functional magnetic resonance imaging GABA γ-amino-α-hydroxybutyric acid GAD65 glutamic acid decarboxylase 65 GAERS generalised absence epilepsy rat of Strasbourg GluR5 kainate receptor GTC generalised tonic-clonic H+ hydrogen ion H2 hydrogen H2O dihydrogen dioxide (water)
    [Show full text]
  • Schizophrenia Care Guide
    August 2015 CCHCS/DHCS Care Guide: Schizophrenia SUMMARY DECISION SUPPORT PATIENT EDUCATION/SELF MANAGEMENT GOALS ALERTS Minimize frequency and severity of psychotic episodes Suicidal ideation or gestures Encourage medication adherence Abnormal movements Manage medication side effects Delusions Monitor as clinically appropriate Neuroleptic Malignant Syndrome Danger to self or others DIAGNOSTIC CRITERIA/EVALUATION (PER DSM V) 1. Rule out delirium or other medical illnesses mimicking schizophrenia (see page 5), medications or drugs of abuse causing psychosis (see page 6), other mental illness causes of psychosis, e.g., Bipolar Mania or Depression, Major Depression, PTSD, borderline personality disorder (see page 4). Ideas in patients (even odd ideas) that we disagree with can be learned and are therefore not necessarily signs of schizophrenia. Schizophrenia is a world-wide phenomenon that can occur in cultures with widely differing ideas. 2. Diagnosis is made based on the following: (Criteria A and B must be met) A. Two of the following symptoms/signs must be present over much of at least one month (unless treated), with a significant impact on social or occupational functioning, over at least a 6-month period of time: Delusions, Hallucinations, Disorganized Speech, Negative symptoms (social withdrawal, poverty of thought, etc.), severely disorganized or catatonic behavior. B. At least one of the symptoms/signs should be Delusions, Hallucinations, or Disorganized Speech. TREATMENT OPTIONS MEDICATIONS Informed consent for psychotropic
    [Show full text]
  • THE USE of MIRTAZAPINE AS a HYPNOTIC O Uso Da Mirtazapina Como Hipnótico Francisca Magalhães Scoralicka, Einstein Francisco Camargosa, Otávio Toledo Nóbregaa
    ARTIGO ESPECIAL THE USE OF MIRTAZAPINE AS A HYPNOTIC O uso da mirtazapina como hipnótico Francisca Magalhães Scoralicka, Einstein Francisco Camargosa, Otávio Toledo Nóbregaa Prescription of approved hypnotics for insomnia decreased by more than 50%, whereas of antidepressive agents outstripped that of hypnotics. However, there is little data on their efficacy to treat insomnia, and many of these medications may be associated with known side effects. Antidepressants are associated with various effects on sleep patterns, depending on the intrinsic pharmacological properties of the active agent, such as degree of inhibition of serotonin or noradrenaline reuptake, effects on 5-HT1A and 5-HT2 receptors, action(s) at alpha-adrenoceptors, and/or histamine H1 sites. Mirtazapine is a noradrenergic and specific serotonergic antidepressive agent that acts by antagonizing alpha-2 adrenergic receptors and blocking 5-HT2 and 5-HT3 receptors. It has high affinity for histamine H1 receptors, low affinity for dopaminergic receptors, and lacks anticholinergic activity. In spite of these potential beneficial effects of mirtazapine on sleep, no placebo-controlled randomized clinical trials of ABSTRACT mirtazapine in primary insomniacs have been conducted. Mirtazapine was associated with improvements in sleep on normal sleepers and depressed patients. The most common side effects of mirtazapine, i.e. dry mouth, drowsiness, increased appetite and increased body weight, were mostly mild and transient. Considering its use in elderly people, this paper provides a revision about studies regarding mirtazapine for sleep disorders. KEYWORDS: sleep; antidepressive agents; sleep disorders; treatment� A prescrição de hipnóticos aprovados para insônia diminuiu em mais de 50%, enquanto de antidepressivos ultrapassou a dos primeiros.
    [Show full text]
  • Pharmacologyonline 2: 971-1020 (2009) Newsletter Gabriella Galizia
    Pharmacologyonline 2: 971-1020 (2009) Newsletter Gabriella Galizia THE TREATMENT OF THE SCHIZOPHRENIA: AN OVERVIEW Gabriella Galizia School of Pharmacy,University of Salerno, Italy e-mail: [email protected] Summary The schizophrenia is a kind of psychiatric disease, characterized by a course longer than six months (usually chronic or relapsing), by the persistence of symptoms of alteration of mind, behaviour and emotion, with such a seriousness to limitate the normal activity of a person. The terms antipsychotic and neuroleptic define a group of medicine principally used to treat schizophrenia, but they are also efficacious for other psychosis and in states of psychic agitation. The antipsychotics are divided into two classes: classic or typical and atypical. The paliperidone, the major metabolite of risperidone, shares with the native drug the characteristics of receptoral bond and of antagonism of serotonin (5HT2A) and dopamine (D2). It's available in a prolonged release formulation and it allows the administration once daily. Besides, the paliperidone has a pharmacological action independent of CYT P450 and in such way a lot of due pharmacological interactions would be avoided to interference with the activity of the CYP2D6, that is known to have involved in the metabolism of the 25% of the drugs of commune therapeutic employment. Introduction The schizophrenia has been a very hard disease to investigate by the research. This is not surprising because it involves the most mysterious aspects of human mind, as emotions and cognitive processes. According to scientific conventions, the schizophrenia is a kind of psychiatric disease, characterized by a course longer than six months (usually chronic or relapsing), by the persistence of symptoms of alteration of mind, behaviour and emotion, with such a seriousness to limitate the normal activity of a person.
    [Show full text]
  • Appendix 13C: Clinical Evidence Study Characteristics Tables
    APPENDIX 13C: CLINICAL EVIDENCE STUDY CHARACTERISTICS TABLES: PHARMACOLOGICAL INTERVENTIONS Abbreviations ............................................................................................................ 3 APPENDIX 13C (I): INCLUDED STUDIES FOR INITIAL TREATMENT WITH ANTIPSYCHOTIC MEDICATION .................................. 4 ARANGO2009 .................................................................................................................................. 4 BERGER2008 .................................................................................................................................... 6 LIEBERMAN2003 ............................................................................................................................ 8 MCEVOY2007 ................................................................................................................................ 10 ROBINSON2006 ............................................................................................................................. 12 SCHOOLER2005 ............................................................................................................................ 14 SIKICH2008 .................................................................................................................................... 16 SWADI2010..................................................................................................................................... 19 VANBRUGGEN2003 ....................................................................................................................
    [Show full text]
  • Risk of Recurrent Overdose Associated with Prescribing Patterns of Psychotropic Medications After Nonfatal Overdose
    Journal name: Neuropsychiatric Disease and Treatment Article Designation: Original Research Year: 2017 Volume: 13 Neuropsychiatric Disease and Treatment Dovepress Running head verso: Okumura and Nishi Running head recto: Risk of recurrent overdose with benzodiazepines open access to scientific and medical research DOI: http://dx.doi.org/10.2147/NDT.S128278 Open Access Full Text Article ORIGINAL RESEARCH Risk of recurrent overdose associated with prescribing patterns of psychotropic medications after nonfatal overdose Yasuyuki Okumura1 Objective: We aimed to estimate risk of recurrent overdose associated with psychosocial Daisuke Nishi2 assessment by psychiatrists during hospitalization for nonfatal overdose and prescribing patterns of psychotropic medications after discharge. 1Research Department, Institute for Health Economics and Policy, Methods: A retrospective cohort study was conducted using a nationwide claims database Association for Health Economics in Japan. We classified patients aged 19–64 years hospitalized for nonfatal overdose between Research and Social Insurance and Welfare, Tokyo, 2Department of October 2012 and September 2013 into two cohorts: 1) those who had consulted a psychiatrist Mental Health Policy and Evaluation, prior to overdose (n=6,790) and 2) those who had not (n=4,950). All patients were followed up National Institute of Mental Health, from 90 days before overdose until 365 days after discharge. National Center of Neurology and Psychiatry, Kodaira, Japan Results: Overall, 15.3% of patients with recent psychiatric treatment had a recurrent overdose within 365 days, compared with 6.0% of those without psychiatric treatment. Psychosocial For personal use only. assessment during hospital admission had no significant effect on subsequent overdose, irrespec- tive of treatment by psychiatrists before overdose.
    [Show full text]