A review of varenicline's efficacy and tolerability in smoking cessation studies in subjects with schizophrenia / Mahatab, Karkhane Yousefi (2012)  

Public Titre : A review of varenicline's efficacy and tolerability in smoking cessation studies in subjects with schizophrenia Type de document : texte imprimé Auteurs : Mahatab, Karkhane Yousefi, Auteur ; Thimothy D. Folsom, Auteur ; S. Hossein Fatemi, Auteur Editeur : Sunnyvale (CA) [Etats-Unis] : OMICS Pub. Group Année de publication : 2012 Collection : Journal of addiction research & therapy, ISSN 2155-6105 Importance : 14 p. Présentation : tab. Langues : Anglais (eng) Catégories : [TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche pharmacologique:bupropion [TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche pharmacologique:varénicline [TABAC] tabagisme:pathologie:pathologie neurologique:schizophrénie Index. décimale : TA 6.2.3.2 Autres produits Résumé : chizophrenia is a severe psychiatric disorder affecting 1% of the world’s population. Nicotine addiction is one of the most important health concerns for patients with schizophrenia. An extensive body of evidence points to a high prevalence rate of comorbid nicotine addiction in people with schizophrenia (70–90%), which contributes to significant cardiovascular and cancer risks in this vulnerable population. Therefore, effective smoking cessation strategies could play a major role in preventing significant morbidity and mortality in this population. Two of the most common pharmacological approaches to smoking cessation, bupropion and nicotine replacement therapy (NRT), have been used in psychiatric patients to reduce their smoking. In 2006, varenicline, a partial agonist of α4β2 acetylcholine receptor, was approved for smoking cessation by the FDA. This drug not only has the beneficial effects on withdrawal symptoms, but also reduces craving and rewarding effects of smoking. While varenicline has been shown to be an effective, safe medication for the general population, its efficacy and safety for subjects with schizophrenia is less well characterized. A number of case studies have prompted FDA warnings about the potential exacerbation of psychiatric symptoms. However, other case studies and pilot studies have shown varenicline to be a safe and effective treatment for smoking cessation in subjects with schizophrenia. Varenicline has the potential to reduce smoking in subjects with schizophrenia, however, clinicians should carefully monitor patients receiving varenicline for potential exacerbation of psychiatric symptoms. En ligne : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3327361/ Format de la ressource électronique : HTML Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=8050

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