Article View: sci.med.pharmacy
Article #148Re: Parkinson's medication problem
From: Jeremy Gauntlett-Gilbert
Date: Tue, 08 Apr 1997 00:00
Date: Tue, 08 Apr 1997 00:00
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3647 bytes
Am I right in saying that this is a trial without blindness, controls or placebo (just going from the abstract)? And presumably, the clinical improvements cited are based on a neurologist's rating, not even blind (let alone objective, like finger tapping or pronation-supination)? Lawks. Jeremy ------------------------------------------------------- Jeremy Gauntlett-Gilbert School of Psychology, University of St Andrews St Andrews, Fife, tel: (01334) 463053, x3053 KY16 9JU, Scotland email: jg3@st-and.ac.uk : Title : Nicotinamide adenine dinucleotide (NADH)--a new therapeutic : approach to Parkinson's disease. Comparison of oral and : parenteral application. : Author : Birkmayer JG; Vrecko C; Volc D; Birkmayer W : Address : Birkmayer-Institut f�r Parkinsontherapie Vienna, Austria. : Source : Acta Neurol Scand Suppl, 146:1993, 32-5 : Abstract : The reduced coenzyme nicotinamide adenine dinucleotide (NADH) : has been used as medication in 885 parkinsonian patients in an : open label trial. About half of the patients received NADH by : intravenous infusion, the other part orally by capsules. In : about 80% of the patients a beneficial clinical effect was : observed: 19.3% of the patients showed a very good (30-50%) : improvement of disability, 58.8% a moderate (10-30%) : improvement. 21.8% did not respond to NADH. Statistical : analysis of the improvement in correlation with the disability : prior to treatment, the duration of the disease and the age of : the patients revealed the following results: All these 3 : parameters have a significant although weak influence on the : improvement. The disability before the treatment has a positive : regression coefficient (t value < 0.01). The duration of the : disease has a negative regression coefficient (< 0.01) and so : has the age a negative regression coefficient (t value < 0.05). : In other words younger patients and patients with a shorter : duration of disease have a better chance to gain a marked : improvement than older patients and patients with longer : duration of the disease. The orally applied form of NADH : yielded an overall improvement in the disability which was : comparable to that of the parenterally applied form. : : -- : Steve Emerson semerson@teleport.com
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X-Google-Language: ENGLISH,ASCII X-Google-Thread: 10583f,b24ccc7055543429 X-Google-Attributes: gid10583f,public X-Google-Thread: f4552,b24ccc7055543429 X-Google-Attributes: gidf4552,public X-Google-Thread: 1162c2,b24ccc7055543429 X-Google-Attributes: gid1162c2,public X-Google-Thread: 1045ed,b24ccc7055543429 X-Google-Attributes: gid1045ed,public X-Google-Thread: 105b48,b24ccc7055543429 X-Google-Attributes: gid105b48,public From: jg3@st-and.ac.uk (Jeremy Gauntlett-Gilbert) Subject: Re: Parkinson's medication problem Date: 1997/04/08 Message-ID: <5id04f$rr@calvin.st-and.ac.uk> X-Deja-AN: 231506575 Distribution: world References: <333E27C6.4C2A@worldnet.att.net> <5hn306$gjl@epx.cis.umn.edu> <5i2e2e$823$1@nadine.teleport.com> Followup-To: sci.med.pharmacy,sci.med,misc.health.alternative,sci.med.nursing,bionet.neuroscience Organization: St. Andrews University Newsgroups: sci.med.pharmacy,sci.med,misc.health.alternative,sci.med.nursing,bionet.neuroscience NNTP-Posting-User: jg3