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Miscellaneous

The treatment of Tourette’s syndrome: current opinions

Pages 899-914 | Published online: 25 Feb 2005

Bibliography

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  • •A good overall review of the phenom-enology, pathology and treatment of TS.
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  • ••An excellent and very detailed summaryparticularly of clinical characteristics and treatment of TS.
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  • •A well-designed study in 57 patients demonstrating that both haloperidol and pimozide are effective in the treatment of TS.
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  • •A controlled study suggesting that pimozide is superior to haloperidol in the •• treatment of TS.
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  • ••This first comprehensive review of TS is ofhistorical importance.
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  • •A comparative double-blind study suggesting that risperidone is as efficacious and safe as pimozide in patients with TS.
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  • •According to this controlled study, the efficacy of risperidone is equivalent to that of donidine in the treatment of tics.
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  • •A double-blind, placebo-controlled trial demonstrating that risperidone is superior to placebo in the treatment of TS.
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  • •According to this double-blind, placebo-controlled study the new atypical NL ziprasidone is effective and well tolerated in the treatment of tics.
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  • •A double-blind, crossover trial suggesting that the dopamine agonist pergolide is effective and safe in the treatment of TS.
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  • •According to this double-blind, placebo-controlled trial, clonidine does not improve tics or behaviour in children or adults with TS.
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  • •In this double-blind, placebo-controlled trial in 47 TS patients clonidine was found to be more effective than placebo in reducing tics and behavioural symptoms.
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  • •This is the first controlled study of baclofen suggesting that treatment with this GABAergic drug is associated with an improvement in overall impairment scores rather than a reduction of motor and vocal tics.
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  • •Results of this double-blind, placebo-controlled trial suggested that nicotine gum potentiates haloperidol effects in treating TS and shows lesser effects when used alone.
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  • •According to this controlled study, transdermal nicotine potentiates the effect of neuroleptics in reducing tics. Significant side effects were frequent.
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  • •According to this controlled study, and in contrast to anecdotal reports, mecarnylarnine is not effective for tics.
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  • •A critical review of different aspects of tardive dyskinesia after nettroleptic treatment indicating that this adverse effect is rare in TS patients.

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