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Neuroleptics reduction and/or cessation and neuroleptics as specific treatments for tardive dyskinesia

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Neuroleptics reduction and/or cessation and neuroleptics as specific treatments for tardive dyskinesia

Sübutlu məlumatların xülasələri
13.01.2017 • Sonuncu dəyişiklik 13.01.2017
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Neuroleptic reduction or specific neuroleptic drugs as treatments for tardive dyskinesia are probably not effective.

A Cochrane review included 5 trials involving a total of 117 participants. One study reported on the 'masking' effects of molindone and haloperidol on tardive dyskinesia (TD), which favoured haloperidol (RR 3.44 CI 1.1 to 5.8, n=18). 2 studies found no reduction in TD associated with neuroleptic reduction (RR 0.38 CI 0.1 to 1.0, n=17). One study found no differences in oral dyskinesia (RR 2.45 CI 0.3 to 19.7, n=20) when neuroleptics were compared as a specific treatment for TD. Dyskinesia was found to be not significantly different (RR 0.62 CI 0.3 to 1.26, n=32) between quetiapine and haloperidol when used as specific treatments for TD.

Comment: The quality of evidence is downgraded by study quality (unclear allocation concealment) and imprecise results (few patients and wide confidence intervals, and limited study size for each comparison).

Ədəbiyyat

  1. Soares-Weiser K, Rathbone J. Neuroleptic reduction and/or cessation and neuroleptics as specific treatments for tardive dyskinesia. Cochrane Database Syst Rev 2006 Jan 25;(1):CD000459.