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首页> 外文期刊>Journal of International Medical Research >Comparison of the Therapeutic Effect, Tolerance and Safety of Ketazolam and Diazepam Administered for Six Months to Out-Patients with Chronic Anxiety Neurosis
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Comparison of the Therapeutic Effect, Tolerance and Safety of Ketazolam and Diazepam Administered for Six Months to Out-Patients with Chronic Anxiety Neurosis

机译:头孢唑仑和地西p对慢性焦虑神经症门诊患者治疗六个月的疗效,耐受性和安全性比较

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Recently, it has been argued that benzodiazepines may not be safe or efficacious beyond 3 months continuous dosage. This study was designed to provide data regarding efficacy, safety, possible tolerance development, and possible withdrawal effects of administering ketazolam and diazepam for a 6-month period. Chronic anxiety patients were screened for participation according to specific inclusion and exclusion criteria. Of 139 patients, forty-four terminated prematurely for non-drug related reasons and are not included in the analysis. Of the ninety-five patients remaining, sixty-three were on ketazolam, and thirty-two on diazepam. Efficacy parameters included the Hamilton Anxiety Rating Scale, Physician's Global Impressions, Target Symptoms, Self-Rating Symptom Scale, and Patient's Global Impressions. Patients were evaluated weekly for the first month except for Week 3, and then seen bi-weekly and rated monthly. The results of the study showed that ketazolam was as efficacious as diazepam in treating anxiety and resulted in fewer side-effects. No adverse effects were noted in either group. Both benzodiazepines were safe and well-tolerated. No tolerance or withdrawal effects were noted. The average doses were ketazolam Week 4 (50.0 mg), Week 24 (66.14 mg) and diazepam Week 4 (26.33 mg) and Week 24 (33.0 mg). An increase in anxiety occurred in a significant number of patients after termination of either drug. By 2 weeks after the last dose many patients were free of anxiety and did not require further treatment. These results demonstrate that benzodiazepines are safe and efficacious for at least 6 months of continuous dosage.
机译:最近,有人争辩说,连续三个月以上服用苯二氮卓类药物可能并不安全或无效。这项研究旨在提供有关使用酮唑仑和地西for治疗6个月的疗效,安全性,可能的耐受性发展以及可能的戒断作用的数据。根据特定的纳入和排除标准筛选了慢性焦虑症患者的参与情况。在139例患者中,有44例因与药物无关的原因提前终止治疗,因此未纳入分析。在其余的九十五名患者中,六十三名患者服用了克他唑仑,三十二名患者使用了地西epa。疗效参数包括汉密尔顿焦虑量表,医师的整体印象,目标症状,自评症状量表和患者的整体印象。除第3周外,对患者的第一个月每周进行一次评估,然后每两周进行一次检查并每月进行评估。研究结果表明,酮咯唑仑在治疗焦虑症方面与地西epa一样有效,且副作用较少。两组均未发现不良反应。两种苯二氮卓均安全且耐受良好。没有发现耐受性或戒断作用。平均剂量为ketazolam第4周(50.0 mg),第24周(66.14 mg)和地西epa第4周(26.33 mg)和第24周(33.0 mg)。终止使用任何一种药物后,大量患者中的焦虑增加。在最后一次服药后2周,许多患者摆脱了焦虑,无需进一步治疗。这些结果表明,苯并二氮杂卓连续至少6个月是安全有效的。

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