Zusammenfassung
In einer kontrollierten Studie an Patienten mit akuter Schizophrenie wurde die klinische Wirksamkeit der Neuroleptika Haldol und Clozapin über 35 Tage geprüft. Nach fünf Tagen Behandlungsdauer wurde bei jenen Patienten, bei denen keine Besserung des psychotischen Zustandsbildes auftrat, Carbamazepin in einer Dosierung von 600 mg täglich zugesetzt. In der statistischen Auswertung der Ergebnisse zeigte sich, daß die Kombinationstherapie mit Carbamazepin die klinische Wirksamkeit eines Standardneuroleptikums nicht entscheidend verbessern kann.
Summary
Combined treatment with neuroleptics and carbamazepin. A controlled study. The clinical efficacy of the neuroleptics Haldol and Clozapine was studied in patients with acute schizophrenia, in a controlled trial lasting 35 days. Patients, whose psychotic state failed to show improvement after treatment for five days, received in addition 600 mg carbamazepine daily. Statistical analysis of the results showed that combination with carbamazepine does not improve the clinical efficacy of a standard neuroleptic to any marked extent.
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Literatur
Ballenger JC, Post RM (1978) Therapeutic effects of carbamazepine in affective illness: a preliminary report. Commun Psychopharmacol 2: 159–178
Ballenger JC, Post RM (1980) Carbamazepine in manic depressive illness: a new treatment. Am J Psychiatry 137: 782–790
Ballenger JC, Post RM (1984) Carbamazepine in alcohol withdrawal syndroms and schizophrenic psychoses. Psychopharmacol Bull 20 (3): 572–584
Ballenger JC, Post RM (1985) Anticonvulsants in psychiatric disease-when are they effective? Drug Ther 10: 156–158
CIPS (Collegium Internationale Psychiatriae Scalarum) (1986) Internationale Skalen für Psychiatrie. Beltz, Weinheim
Dalby MA (1975) Behavioral effects of carbamazepine. In: Penry JR, Daly DD (eds) Complex partial seizures. Raven Press, New York, pp 331–333 (Advances in neurology, vol 2 )
Dalby MA (1975) Antiepileptic and psychotropic effects of carbamazepine (Tegretol) in the treatment of psychomotor epilepsy. Epilepsia 12: 325–334
Emrich HM, Stoll KD, Müller AA (1984) Guidelines for the use of carbamazepine and of valproate in the prophylaxis of affective disorders. In: Emrich HM, Okuma T, Müller AA (eds) Anticonvulsants in affective disorders. Amsterdam, Excerpta Medica, pp 211–214
Gerstenbrand F, Grünberger J, Schubert H (1973) Quantitative Testmethoden zur Objektivierung des Effekts einer L-Dopa-Langzeitthe- rapie beim Parkinson-Syndrom. Nervenarzt 44: 428–433
Goncalves N, Stoll KD (1985) Carbamazepine bei manischen Syndromen. Nervenarzt 56: 43–47
Guy W (1976) ECDEU assessment manual for psychopharmacology. National Institute of Mental Health. Rev Ed Rockville, Maryland, p217
Hakola HPA, Laulumäa VA (1982) Carbamazepine in the treatment of violent schizophrenics. Lancet i: 1358
Hakola HPA, Laulumäa VA (1984) Carbamazepine in violent schizophrenics. In: Emrich HM, Okuma T, Müller A A (eds) Anticonvulsants in affective discorders. Excerpta Medica, Amsterdam
Jann MW, (1985) Effects of carbamazepine on plasma haloperidol. Clin Psychopharmacol 5 (2): 106– 109
Kishimoto A (1984) A follow-up prophylactic study of carbamazepine in affective disorders. In: Emrich HM, Okuma T, Müller AA (eds) Anticonvulsants in affective disorders. Excerpta Medica, Amsterdam, pp 88–92
Klein E, Bental E, Lerer B, et al (1983) Carbamazepine and haloperidol versus placebo and haloperidol in excited psychosis. Arch Gen Psychiatry 41: 165–170
Klein E, Bental E, Lerer B, Belmaker RH (1984) Combination of carbamazepine and haloperidol in excited psychosis a controlled study. Arch Gen Psychiatry 41 (2): 165–170
Lerer B (1985) Alternative therapies for bipolar disorder. J Clin Psychiatry 46: 309–316
Luchins DJ (1984) Carbamazepine in violent nonepileptic schizophrenics. Psychopharmacol Bull 20 (3): 569–571
Marjerrison G, Jedlicki SM, Keogh RP, et al (1968) Carbamazepine: behavioral, anticonvulsant and EEG effects in chronically hospitalized epileptics. Dis Nerv Syst 29: 133–136
May PR A (1968) Treatment of schizophrenia. Science House, New York
Neppe VM (1982) Carbamazepine in psychiatric patients. Lancet ii: 334
Okuma T, Inanaga K, Otsuki S, et al (1979) Comparison of the an- timanic efficacy of carbamazepine and chlorpromazine: a double-blind controlled study. Psychopharmacology 66: 211–217
Okuma T, Inanaga K, Otsuki S, et al (1981) A preliminary double- blind study of the efficacy of carbamazepine in the prophylaxis of manic depressive illness. Psychopharmacology 73: 95–96
Okuma T (1984) Therapeutic and prophylactic efficacy of Carbamazepin in manic depressive psychoses. In: Emrich HM, Okuma T, Müller AA (eds) Anticonvulsants in affective disorders. Excerpta Medica, Amsterdam, pp 76– 87
Overall J, Gorham D (1962) The brief psychiatric rating scale. Psychol Rep 10: 799–812
Post RM (1982) Carbamazepines acute and prophylactic effects in manic and depressive illness: an update. In: Ayd FJ (ed) International drug therapy newsletter, vol 17. Numbers 2 and 3
Post RM, Uhde TW (1985) Carbamazepine in bipolar illness. Psy- chopharmacol Bull 21 (1): 10– 17
Rifkin A, Siris S (1987) Drug treatment of acute schizophrenia. In: Meitzer H (ed) Psychopharmacology: the third generation of progress. Raven Press, New York
Schulte RM, Kriese J (1984) Carbamazepine — Ergänzung, Erweiterung und Alternative der therapeutischen Möglichkeiten bei affektiven Psychosen. Med Welt 35: 906–909
Siegel S (1956) Nonparametric statistics for the behavioral sciences. McGraw-Hill, New York
Stevens JR, Bigelow L, et al (1979) Telemetered EEG-EOG during psychotic behaviors of schizophrenia. Arch Gen Psychiatry 36: 251–262
Walther-Büel H (1965) Die Gefühlsqualität “organisch” in der psychiatrischen Diagnostik (Beitrag zur Frage der organischen Wesensänderung). In: Walther-Büel H, Spoerr Th (Hrsg) Zur Psychiatrie hirnorganischer Störungen. Aktuelle Fragen der Psychiatrie und Neurologie, Bd 2 (Bibliotheca Psychiatrica et Neurologica, Fase 127 ). Karger, Basel New York
Yassa R, Dupont D (1983) Carbamazepine in the treatment of aggressive behavior in schizophrenic patients: a case report. Can J Psychiatry 28: 566–568
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Mair, M., Tschapeller, I., Schubert, H. (1990). Kombinationstherapie mit Neuroleptika und Carbamazepin. Eine kontrollierte Studie. In: Schönbeck, G., Platz, T. (eds) Schizophrene erkennen, verstehen, behandeln. Aktuelle Probleme der Schizophrenie, vol 1. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9089-0_7
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DOI: https://doi.org/10.1007/978-3-7091-9089-0_7
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