Amantadine for the treatment of childhood and adolescent psychiatric symptoms.
Kyle MorrowSun ChoiKeith YoungMakram HaidarCassandra BoduchJames A BourgeoisPublished in: Proceedings (Baylor University. Medical Center) (2021)
This retrospective study examined clinical parameters associated with amantadine treatment of psychiatric symptoms in children. A total of 297 pediatric patients were prescribed amantadine and met study criteria to assess clinical responses and medication outcomes. More than 62% of patients experienced clinically significant symptom control and 83% achieved at least maintenance symptom control, while 11% discontinued amantadine for nonresponse and 6% stopped amantadine because of side effects. Among patients previously receiving other psychotropic medication, 42% and 28% of patients fully discontinued second- or third-generation antipsychotics or antidepressants, respectively. Patients responsive to amantadine who discontinued or reduced antipsychotic dose experienced a significant reduction in body mass index. Amantadine appears be an efficacious and safe alternative for treatment of a broad set of psychiatric symptoms in children and adolescents. Specifically, it may serve as an effective adjunct to stimulants for attention deficit/hyperactivity disorder-related symptoms and appears to be a safer alternative to second- or third-generation antipsychotics.
Keyphrases
- end stage renal disease
- attention deficit hyperactivity disorder
- body mass index
- ejection fraction
- chronic kidney disease
- mental health
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- autism spectrum disorder
- healthcare
- combination therapy
- insulin resistance
- skeletal muscle
- weight loss
- cancer therapy
- weight gain
- tyrosine kinase
- smoking cessation