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Amantadine effectiveness in multiple system atrophy and progressive supranuclear palsy
A H Rajrut1, R J Uitti, M E Fenton
1Division of Neurology, University of Saskatchewan, Saskatchewan, Canada.
Amantadine (Amd) offers potential benefits for Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy (MSA) patients who typically respond poorly to other treatments. This study suggests considering Amd for managing these challenging neurodegenerative conditions.
Area of Science:
- Neurology
- Neuropharmacology
Background:
- Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy (MSA) are neurodegenerative diseases with limited treatment options.
- Conventional anti-parkinsonian drugs often show poor efficacy in PSP and MSA patients.
Purpose of the Study:
- To evaluate the therapeutic response of Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy (MSA) cases to amantadine (Amd).
- To assess the safety and efficacy of amantadine in managing symptoms of PSP and MSA.
Main Methods:
- Retrospective analysis of 13 Multiple System Atrophy (MSA) and 14 Progressive Supranuclear Palsy (PSP) cases treated between 1970 and 1996.
- Administration of amantadine (Amd) at 100 mg twice daily.
Main Results:
- Amantadine (Amd) showed improvement in 61.5% of MSA cases and 42.9% of PSP cases.
- Adverse effects were reported in 23.1% of MSA patients and 28.6% of PSP patients.
- The NMDA antagonist properties of amantadine are hypothesized to contribute to observed improvements.
Conclusions:
- Amantadine (Amd) demonstrates potential as a management option for both Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy (MSA).
- Further investigation into amantadine's efficacy and safety profile for these conditions is warranted.
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