Неврологические нежелательные явления антипсихотической терапии
https://doi.org/10.30629/2618-6667-2019-17-3-75-86
Аннотация
Цель работы: предоставить данные научной литературы за последнее десятилетие, касающиеся распространённости, клиники и лечения неврологических нежелательных явлений антипсихотической терапии.
Материал и методы: по ключевым словам «неврологические нежелательные явления», «дискинезия», «антипсихотики» отобраны и проанализированы публикации за последние десять лет, найденные в базах данных Scopus, PubMed, Cochrane Library.
Результаты: представлены результаты изучения частоты этих расстройств, рассмотрены подходы к диагностике и лечению нежелательных явлений антипсихотиков, факторы риска и клинические особенности лекарственного паркинсонизма, дистонии и поздней дискинезии. Приведены гипотезы их возникновения, описаны методы лечения.
Выводы: более точное диагностическое разграничение разновидностей неврологических нежелательных эффектов антипсихотической терапии и учет факторов риска их развития позволит снизить вероятность их возникновения и повысить эффективность терапии.
Об авторах
Н. С. ЧеркасовРоссия
Черкасов Никита Сергеевич ординатор.
МоскваВ. С. Шешенин
Россия
Шешенин Владимир Сергеевич - кандидат медицинских наук, ведущий научный сотрудник, отдел гериатрической психиатрии.
МоскваМ. А. Савина
Россия
Савина Мария Александровна - доктор медицинских наук, ведущий научный сотрудник, отдел гериатрической психиатрии.
МоскваСписок литературы
1. . Schonecker M. Paroxysmal dyskinesia as the effect of megaphen. Nervenarzt. 1957;28(12):550-553. http://www.ncbi.nlm.nih.gov/pubmed/13517450.
2. Faurbye A, Rasch P-J, Petersen PB, et al. Neurological Symptoms in Pharmagotherapy of Psychoses. Acta Psychiatr. Scand. 1964;40(1):10-27. https://doi.org/10.1111/j.1600-0447.1964.tb05731.x.
3. Woerner MG, Alvir JM, Saltz BL, et al. Prospective study of tardive dyskinesia in the elderly: rates and risk factors. Am. J. Psychiatry. 1998;155(11):1521— 1528. https://doi.org/10.1176/ajp.155.11.1521.
4. Glazer WM, Morgenstern H, Doucette JT. Predicting the long-term risk of tardive dyskinesia in outpatients maintained on neuroleptic medications. J. Clin. Psychiatry. 1993;54(4):133-139. http://www.ncbi.nlm.nih.gov/pubmed/8098030.
5. Chakos MH, Alvir JMJ, Woerner MG, et al. Incidence and correlates of tardive dyskinesia in first episode of schizophrenia. Arch. Gen. Psychiatry. 1996;53(4):313—319. https://doi.org/10.1001/arch-psyc.1996.01830040049009.
6. Correll CU, Schenk EM. Tardive dyskinesia and new antipsychotics. Curr. Opin. Psychiatry. 2008;21(2):151-156. https://doi.org/10.1097/YCO.0b013e3282f531326.
7. Woods SW, Morgenstern H, Saksa JR, et al. Incidence of tardive dyskinesia with atypical versus conventional antipsychotic medications: a prospective cohort study. J. Clin. Psychiatry. 2010;71(4):463-474. https://doi.org/10.4088/JCP.07m03890yel.
8. Tenback DE, van Harten PN, Slooff CJ, van Os J. Incidence and persistence of tardive dyskinesia and extrapyramidal symptoms in schizophrenia. J. Psychopharmacol. 2010;24(7):1031-1035. https://doi.org/10.1177/0269881109106306.
9. de Leon J. The effect of atypical versus typical antipsychotics on tardive dyskinesia: a naturalistic study. Eur. Arch. Psychiatry Clin. Neurosci. 2007;257(3):169-172. https://doi.org/10.1007/s00406-006-0705-z.
10. Woerner MG, Correll CU, Alvir JMJ, et al. Incidence of Tardive Dyskinesia with Risperidone or Olanzapine in the Elderly: Results from a 2-Year, Prospective Study in Antipsychotic-Naive Patients. Neuropsychopharmacology. 2011;36(8):1738-1746. https://doi.org/10.1038/npp.2011.55.
11. Youssef HA, Waddington JL. Morbidity and mortality in tardive dyskinesia: associations in chronic schizophrenia. Acta Psychiatr. Scand. 1987;75(1):74-77. https://doi.org/10.1111/]'.1600-0447.1987.tb02754.x.
12. Ballesteros J, Gonzalez-Pinto A, Bulbena A. Tardive dyskinesia associated with higher mortality in psychiatric patients: Results of a metaanalysis of seven independent studies. J. Clin. Psychopharmacol. 2000;20(2):188-194. https://doi.org/10.1097/00004714-200004000-00011.
13. Skidmore F, Reich SG. Tardive dystonia. Current Treatment Options in Neurology. 2005;7(3):231-236. D0I:10.1007/s11940-005-0016-0.
14. Solmi M, Pigato G, Kane JM, Correll CU. Clinical risk factors for the development of tardive dyskinesia. J. Neurol. Sci. 2018;389:21-27. https://doi.org/10.1016/j.jns.2018.02.012.
15. Jr HK, Ilahi MM, Shenker D. Theoretical Implications of the Use of L-Dopa in Parkinsonism. Acta Neurol. Scand. 1970;46(4-5):409-441. https: //d oi.org/10.1111/].1600-0404.1970.tb05804.x.
16. Z. L, X.L. S. Etiological characteristics and treatment of tardive dyskinesia. Neural Regen. Res. 2006;1(6):549-552. http://ovidsp.ovid.com/ovid-web.cgi?T=JS&PAGE=reference&D=emed10&NEWS=N&AN=351606435.
17. Vaddadi K, Hakansson K, Clifford J, Waddington J. Tardive dyskinesia and essential fatty acids. Int. Rev. Psychiatry. 2006;18(2):133-143. https://doi.org/10.1080/09540260600583114.
18. Lohr JB, Kuczenski R, Niculescu AB. Oxidative mechanisms and tardive dyskinesia. CNS Drugs. 2003;17(1):47-62. https: //doi.org/10.2165/00023210-200317010-00004.
19. Elkashef AM, Wyatt RJ. Tardive dyskinesia: Possible involvement of free radicals and treatment with vitamin E. Schizophr. Bull. 1999;25(4):731-740. https://doi.org/10.1093/oxfordjournals.schbul.a033414.
20. Bishnoi M, Chopra K, Kulkarni SK. Possible anti-oxidant and neuroprotective mechanisms of zolpidem in attenuating typical anti-psychotic-induced orofacial dyskinesia-A biochemical and neurochemical study. Prog. Neuro-Psychopharmacology Biol. Psychiatry. 2007;31(5):1130-1138. https://doi.org/10.1016/].pnpbp.2007.04.007.
21. Gunne LM, Andren PE. An Animal Model for Coexisting Tardive Dyskinesia and Tardive Parkinsonism. Clin. Neuropharmacol. 1993;16(1):90-95. https://doi.org/10.1097/00002826-199302000-00012.
22. Kulkari SK, Naidu PS. Pathophysiology and drug therapy of tardive dyskinesia: Current concepts and future perspectives. Drugs of Today. 2003;39(1):19-49. https://doi.org/10.1358/dot.2003.39.1.799430.
23. Левин ОС. Лекарственные дискинезии. Современная терапия в психиатрии и неврологии. 2014;3:4-13.
24. Mendhekar DN, Duggal HS. Clozapine-induced tardive dyskinesia and hypothyroidism. J Neuropsychiatry Clin. Neurosci. 2006;18(2):245-246. https://doi.org/10.1176/]np.2006.18.2.245.
25. Duggal HS, Mendhekar DN. Clozapine-induced tardive dystonia (blepharospasm). J. Neuropsychiatry Clin. Neurosci. 2007;19(1):86-87. https://doi.org/10.1176/]np.2007.19.1.86.
26. Molho ES, Factor SA. Possible tardive dystonia resulting from clozapine therapy. Mov. Disord. 1999;14(5):873-874. https://doi.org/10.1002/1531-8257(199909)14:5<873::AID-MDS1027>3.0.C0;2-U.
27. Frei K, Truong DD, Fahn S, et al.The nosology of tardive syndromes. J. Neurol. Sci. 2018;389:10-16. https://doi.org/10.1016/j.jns.2018.02.008.
28. Тиганов АС, Снежневский АВ, Орловская ДД. Руководство по психиатрии. В 2 томах. Том 1. Под ред. Тиганова АС. Москва: Медицина; 2012.
29. Ryu S, Yoo JH, Kim JH, et al. Tardive Dyskinesia and Tardive Dystonia With Second-Generation Antipsychotics in Non-Elderly Schizophrenic Patients Unexposed to First-Generation Antipsychotics. J. Clin. Psychopharmacol. 2015;35(1):13-21. https://doi.org/10.1097/JCP.0000000000000250.
30. Федеральные клинические рекомендации по диагностике и лечению шизофрении. Российское общество психиатров. 2013. Доступно по: http://psychiatr.ru/download/1271?view=1&name=Орга-нические+псих+расстр+проект+клин +рекомен-д+ноябрь+13.pdf. (Ссылка активна на 16.09.18).
31. Bergman H, Soares-Weiser K. Anticholinergic medication for antipsychotic-induced tardive dyskinesia. Cochrane Database Syst Rev. 2018;(1). https://doi.org/10.1002/14651858.CD000204.pub2.
32. Pappa S, Tsouli S, Apostolou G, et al. Effects of amantadine on tardive dyskinesia: A randomized, double-blind, placebo-controlled study. Clin. Neuropharmacol. 2010;33(6):271-275. https://doi.org/10.1097/WNF.0b013e3181ffde32.
33. Ветохина ТН, Федорова НВ, Воронина ЕФ. Клинические проявления и течение нейролептической поздней дискинезии. Психиатрия. 2006;3(21):47-54.
34. Vestal RE, Kornhauser DM, Hollifield JW, Shand DG. Inhibition of propranolol metabolism by chlorpromazine. Clin. Pharmacol. Ther. 1979;25(1):19-24. https://doi.org/10.1002/cpt197925119.
35. Silver JM, Yudofsky SC, Kogan M, Katz BL. Elevation of thioridazine plasma levels by propranolol. Am. J. Psychiatry. 1986;143(10):1290-1292. https://doi.org/10.1176/ajp.143.10.1290.
36. Garc ia-Santos G, Herrera F, Mart in V, et al. Antioxidant activity and neuroprotective effects of zolpidem and several synthesis intermediates. Free Radic. Res. 2004;38(12):1289-1299. https://doi.org/10.1080/10715760400017343.
37. Bishnoi M, Chopra K, KuLkarni SK. Possible anti-oxidant and neuroprotective mechanisms of zolpidem in attenuating typical anti-psychotic-induced orofacial dyskinesia — A biochemical and neurochemical study. Prog. Neuro-Psychopharmacology Biol. Psychiatry. 2007;31(5):1130-1138. https://doi.org/10.1016/]'.pnpbp.2007.04.007.
38. Alabed S, Latifeh Y, Mohammad HA, Bergman H. Gamma-aminobutyric acid agonists for antipsychotic-induced tardive dyskinesia. Cochrane Database Syst Rev. 2018;4:CD000203. https://doi.org/10.1002/14651858.CD000203.pub4.
39. Richardson MA, Bevans ML, Weber JB, et al. Branched chain amino acids decrease tardive dyskinesia symptoms. Psychopharmacology (Berl). 1999;143(4):358-364. https://doi.org/10.1007/s002130050959.
40. Richardson MA, Small AM, Read LL, et al. Branched chain amino acid treatment of tardive dyskinesia in children and adolescents. J. Clin. Psychiatry. 2004;65(1):92-96. https://doi.org/10.4088/JCP.v65n0116.
41. Richardson MA, Bevans ML, Read LL, et al. Efficacy of the branched-chain amino acids in the treatment of tardive dyskinesia in men. Am. J. Psychiatry. 2003;160(6):1117-1124. https://doi.org/10.1176/appi.a]p.160.6.1117.
42. Waln O, Jankovic J. An Update on Tardive Dyskinesia: From Phenomenology to Treatment. Tremor and Other Hyperkinetic Movements 2013;3:1-11. doi:10.7916/D88P5Z71.
43. Vijayakumar D, Jankovic J. Drug-Induced Dyskinesia, Part 1: Treatment of Levodopa-Induced Dyskinesia. Drugs. 2016;76(7):759-777. https://doi.org/10.1007/s40265-016-0566-3.
44. Zhang L, Chopp M, Meier DH, et al. Sonic hedgehog signaling pathway mediates cerebrolysin-improved neurological function after stroke. Stroke. 2013;44(7):1965-1972. https://doi.org/10.1161/STROKEAHA.111.000831.
45. Zhang C, Chopp M, Cui Y, et al. Cerebrolysin enhances neurogenesis in the ischemic brain and improves functional outcome after stroke. J. Neurosci. Res. 2010;88(15):3275-3281. https://doi.org/10.1002/jnr.22495.
46. Концевой ВА, Медведев АВ, Андрусенко МП и др. Использование церебролизина для лечения затяжных экстрапирамидных осложнений. Журнал неврологии и психиатрии имени С.С. Корсакова. 1997;97(6):39-44. http://www.ncbi.nlm.nih.gov/pubmed/11517474.
47. Malykh AG, Sadaie MR. Piracetam and piracetamlike drugs: from basic science to novel clinical applications to CNS disorders. Drugs. 2010;70(3):287-312. https://doi.org/10.2165/11319230-000000000-00000.
48. Libov I, Miodownik C, Bersudsky Y, et al. Efficacy of piracetam in the treatment of tardive dyskinesia in schizophrenic patients: A randomized, doubleblind, placebo-controlled crossover study. J. Clin. Psychiatry. 2007;68(7):1031-1037. https://doi.org/10.4088/JCP.v68n0709.
49. Miyaoka T, Furuya M, Yasuda H, et al. Yi-gan san for the treatment of neuroleptic-induced tardive dyskinesia: an open-label study. Prog. Neuropsychopharmacol Biol. Psychiatry. 2008;32(3):761-764. https://doi.org/10.1016/j.pnpbp.2007.12.003.
50. Doo A-R, Kim S-N, Park J-Y, et al. Neuroprotective effects of an herbal medicine, Yi-Gan San on MPP+/ MPTP-induced cytotoxicity in vitro and in vivo. J. Ethnopharmacol. 2010;131(2):433-442. https://doi.org/10.1016/j.jep.2010.07.008.
51. Zhang W-F, Tan Y-L, Zhang X-Y, et al. Extract of Ginkgo biloba Treatment for Tardive Dyskinesia in Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled Trial. J. Clin. Psychiatry. 2010; 72(5):615-621. https://doi.org/10.4088/JCP.09m05125yel.
52. Viswanathan M, Siow YL, Paulose CS, Dakshinamurti K. Pineal indoleamine metabolism in pyridoxine-deficient rats. Brain Res. 1988;473(1):37-42. https://doi.org/10.1016/0006-8993(88)90312-5.
53. Lerner V, Miodownik C, Kaptsan A, et al. Vitamin B(6) in the treatment of tardive dyskinesia: a doubleblind, placebo-controlled, crossover study. Am. J. Psychiatry. 2001;158(9):1511-1514. https://doi.org/10.1176/appi.ajp.158.9.1511.
54. Guay DRP. Tetrabenazine, a monoamine-depleting drug used in the treatment of hyperkinetic movement disorders. Am. J. Geriatr. Pharmacother. 2010;8(4):331-373. https://doi.org/10.1016/].amjopharm.2010.08.006.
55. Rana AQ, Chaudry ZM, Blanchet PJ. New and emerging treatments for symptomatic tardive dyskinesia. Drug. Des. Devel. Ther. 2013;7:1329-1340. https://doi.org/10.2147/DDDT.S32328.
56. Cloud LJ, Zutshi D, Factor SA. Tardive dyskinesia: therapeutic options for an increasingly common disorder. Neurotherapeutics. 2014;11(1):166-176. https://doi.org/10.1007/s13311-013-0222-5.
57. Hauser RA, Factor SA, Marder SR, et al. KINECT 3: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Trial of Valbenazine for Tardive Dyskinesia. Am. J. Psychiatry. 2017;174(5):476-484. https://doi.org/10.1176/appi.ajp.2017.16091037.
58. Citrome L. Deutetrabenazine for tardive dyskinesia: A systematic review of the efficacy and safety profile for this newly approved novel medication-What is the number needed to treat, number needed to harm and likelihood to be helped or harmed? Int. J. Clin. Pract. 2017;71(11):e13030. https://doi.org/10.1111/ijcp.13030.
Рецензия
Для цитирования:
Черкасов Н.С., Шешенин В.С., Савина М.А. Неврологические нежелательные явления антипсихотической терапии. ПСИХИАТРИЯ. 2019;17(3):75-86. https://doi.org/10.30629/2618-6667-2019-17-3-75-86
For citation:
Cherkasov N.S., Sheshenin V.S., Savina M.A. Antipsychotic-Induced Neurological Adverse Events. Psychiatry (Moscow) (Psikhiatriya). 2019;17(3):75-86. (In Russ.) https://doi.org/10.30629/2618-6667-2019-17-3-75-86