Mh. Rapaport et al., BENEFICIAL-EFFECTS OF NALMEFENE AUGMENTATION IN NEUROLEPTIC-STABILIZED SCHIZOPHRENIC-PATIENTS, Neuropsychopharmacology, 9(2), 1993, pp. 111-115
It was postulated that chronic blockade of the opioid system in neurol
eptic-stabilized schizophrenic patients would have a beneficial behavi
oral effect. Eleven neuroleptic-stabilized psychotic inpatients receiv
ed augmentation with nalmefene for an average of 36.7 days in a double
-blind placebo-controlled study. The patients exhibited significant re
ductions in Bunney-Hamburg psychosis ratings and the Brief Psychiatric
Rating Scale thinking disturbance subscale during the augmentation pe
riod. This study presents preliminary data supporting the hypothesis t
hat chronic augmentation of neuroleptic-stabilized schizophrenic patie
nts with opiate antagonists is beneficial.