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Winwick Hospital
ABSTRACT
A controlled trial of trifluoperazine (Stelazine) in chronic schizophrenia is reported. Analysis of the results indicates that this substance is of value in the symptomatic treatment of this condition, and that the less severely affected patients appear to benefit most from its use. Neither the age of the patient nor the length of time in hospital seem to influence the results of treatment. It was not found possible to show that one symptom or group of symptoms responded better than another, but further investigation with larger numbers of patients might yield results in this respect, and would be of value in leading to more precise indications for the use of this drug.
Side-effects, mainly in the form of extra-pyramidal dysfunction, were fairly common but tended to disappear on reduction of dosage; they were not considered to be a serious disadvantage of the drug, and should seldom necessitate discontinuation of treatment. The incidence of side-effects can be reduced by commencing with a small dose and then gradually increasing, and probably also by using twice daily rather than thrice daily administration.
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