Lv. Snedkova et al., USE OF NIFEDIPINE IN THE CASES OF POOR PR EVENTIVE EFFECT OF LITHIUM-CARBONATE IN PATIENTS WITH AFFECTIVE AND SCHIZOAFFECTIVE PSYCHOSES, Zurnal nevropatologii i psihiatrii im. S.S. Korsakova, 97(10), 1997, pp. 35-39
26 patients with affective and schizoaffective psychoses either therap
eutically resistant to lithium salts or with intolerance to them were
treated. Control period of preventive therapy (lithium carbonate in av
erage doses 0,6-0,9 g daily) and experimental period (nifedipine, aver
age doses 30-40 mg daily) were equal in duration, 2 years exactly. Pre
ventive effect of nifedipine exeeded the same effect of lithium carbon
ate in 65,4% of patients. The total duration of affective attacks in t
he experimental period was reduced on 46,8% and their frequency - on 3
1,7% in comparison with the control period. A number of hospital admis
sions decreased (on 52,2%) with a simultaneous tendency to transition
of a disease to a more light level (a number of attacks of cyclothymic
level increased on 17,3%). The data gives ground for the perspectives
of application of nifedipine in the cases of insufficient prophylacti
c effect or intolerance to lithium salts.