A 54-year-old Caucasian man with a 2-year history of progressive memory loss was admitted for management of his worsening aggression. A year previously, a full dementia work-up revealed no abnormality apart from ventricular dilation for which he had received a ventriculo-peritonea1 shunt. The shunt
CARBAMAZEPINE USE IN AGGRESSIVE BEHAVIOUR ASSOCIATED WITH SENILE DEMENTIA
โ Scribed by COLM COONEY; ANN MORTIMER; ANDREW SMITH; KATE NEWTON; MARGO WRIGLEY
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 354 KB
- Volume
- 11
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
โฆ Synopsis
In a randomized placebo crossover controlled study, six patients meeting DSM-111-R criteria for Alzheimer's disease and exhibiting significantly aggressive behaviour were administered carbamazepine (in doses up to 600 mg daily) and placebo, with each treatment period lasting 8 weeks. Levels of aggression as measured by the RAGE scale were significantly reduced compared with placebo ( p < 0.05). The results suggest that carbamazepine is an effective antiaggressive agent in patients with dementia. Recommendations for further studies are made.
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