A long-term, multicenter, open-label study of risperidone in elderly patients with psychosis

M. Davidson, P. D. Harvey, J. Vervarcke, C. A. Gagiano, J. D. De Hooge, G. Bray, M. Dose, Y. Barak, M. Haushofer

Research output: Contribution to journalArticle

82 Scopus citations

Abstract

Rationale. Studies have shown that risperidone is safe and efficacious in young and middle-aged adults with chronic schizophrenia, but considerably fewer data are available on the treatment of elderly patients with schizophrenia or other psychotic disorders, particularly long-term outcomes. Objective. A 12-month, open-label study was conducted to assess the effects of risperidone in elderly, chronically ill, psychotic patients. Methods. This study enrolled 180 elderly, chronically ill, psychotic patients (median age, 72 years [range 54-89]), 97 of whom completed the 12-month study. At endpoint, the mean dose of risperidone was 3.7 mg/day. Results. Clinical improvement (≥ 20% reduction in Positive and Negative Syndrome Score [PANSS] total score) was achieved by 54% of patients at endpoint. There were significant reductions in PANSS total, subscale (positive, negative, and general psychopathology), and cognition cluster scores at endpoint (p < 0.001). Clinical Global Impressions severity of illness scores showed continued improvement through month 12 (p < 0.001). In contrast, PANSS data from a historical comparable control group of patients receiving conventional antipsychotic agents showed no symptom improvement over a 12-month treatment period. The severity of preexisting extrapyramidal symptoms (EPS) in patients treated with risperidone decreased significantly from baseline to endpoint (p < 0.001), and the use of antiparkinsonian medication decreased from 41.1% of patients before the trial to 25.6% during the trial. There were no spontaneous reports of tardive dyskinesia (TD) and the incidence of assessed TD was 4.3% in contrast to the expected 26% reported in middle-aged and elderly patients receiving conventional antipsychotic agents for 1 year. Conclusions. Long-term treatment with risperidone was associated with continued symptom improvement, a decrease in the severity of preexisting EPS, and a low incidence of TD in elderly psychotic patients. Copyright (C) 2000 John Wiley and Sons, Ltd.

Original languageEnglish (US)
Pages (from-to)506-514
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume15
Issue number6
DOIs
StatePublished - Jun 2000

Keywords

  • Efficacy
  • Elderly
  • Psychosis
  • Risperidone
  • Safety
  • Schizophrenia

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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