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Tiapride in the Long-term Management of Alcoholics of Anxious or Depressive Temperament

Published online by Cambridge University Press:  02 January 2018

G. K. Shaw*
Affiliation:
Bexley Hospital
S. K. Majumdar
Affiliation:
Bexley Hospital
S. Waller
Affiliation:
Bexley Hospital
J. MacGarvie
Affiliation:
Biometrics Unit, Institute of Psychiatry, London
G. Dunn
Affiliation:
Biometrics Unit, Institute of Psychiatry, London
*
Bexley Hospital, Old Bexley Lane, Bexley, Kent DAS 2BW

Abstract

Thirty-two chemically dependent alcoholics with significant levels of anxiety or depression were admitted to a double-blind randomised study in which the effect of the substituted benzamide tiapride was compared with that of placebo over a 6-month period. Twenty patients completed the study. Assessments included relevant biochemical and haematological tests, drinking levels and associated behaviour, expressed satisfaction with various areas of life, the Crown-Crisp Experiential Index of neurotic symptoms and questionnaires on self-esteem and alcohol dependence. The results indicated that in comparison with the placebo group, patients treated with tiapride drank less and had longer periods of abstinence. This was associated with improvements in laboratory tests, reduction in neurotic symptoms, gains in self-esteem and increased levels of expressed satisfaction with life situation. The drug was well tolerated and no deleterious effects were noted, suggesting its potential usefulness for this patient group.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Bonnaffoux, D., Jeanparis, F., Bourgeat, P. & Laporte, P. (1982) Follow-up treatment after alcohol withdrawal: results after two years in 200 cases. Semaine des Hôpitaux de Paris, 58, 20792081.Google Scholar
Costall, D. & Naylor, R. J. (1977) Neuropharmacological indications of an antidyskinetic potential for tiapride. Semaine des Hôpitaux de Paris, 58, 7276.Google Scholar
Crown, S. & Crisp, A. H. (1979) Crown-Crisp Experiential Index. Kent, UK: Hodder & Stoughton.Google Scholar
Freour, P. (1979) The fight against alcoholism and its consequences in general practice. Semaine des Hôpitaux de Paris, 55, 757761.Google Scholar
Jenner, P. & Marsden, C. D. (1979) The substituted benzamides - a novel class of dopamine antagonists. Life Sciences, 25, 479486.Google Scholar
Jenner, P., Elliott, P. M. C., Clow, A., Reavill, C. & Marsden, C. D. (1978) A comparison of in vitro and in vivo dopamine receptor antagonism produced by substituted benzamide drugs. Journal of Pharmacy and Pharmacology, 30, 4648.CrossRefGoogle ScholarPubMed
La Barre, J. (1978) Rapport au sujet des propriétés non toxicomanogenes du tiapride (1347). Semaine des Hôpitaux de Paris, 54, 461462.Google Scholar
Litman, G., Stapleton, J., Oppenheim, A. N. & Peleg, M. (1983) An instrument for measuring coping behaviours in hospitalized alcoholics: implications for relapse, prevention, treatment. British Journal of Addiction, 78, 269277.Google Scholar
Marx, A. (1981) Out-patient treatment of chronic alcoholism with tiapride. Semaine des Hôpitaux de Paris, 57, 13471348.Google Scholar
Murphy, D. J., Shaw, G. K. & Clarke, I. (1983) Tiapride and chlormethiazole in alcohol withdrawal: a double-blind trial. Alcohol A Alcoholism, 18, 227237.Google Scholar
Parent, M., Jadot, M. & Toussaint, C. (1978) Tiapride and alcohol withdrawal symptoms. Revue Médicale de Liège, 33, 672677.Google Scholar
Peyramond, A. (1982) Comparative cross-over clinical trial of tiaprid versus meprobamate in agitated states. Semaine des Hôpitaux de Paris, 54, 542545.Google Scholar
Smith, D. E. & Wesson, D. R. (1983) Benzodiazepine dependency syndromes. Journal of Psychoactive Drugs, 15, 8595.CrossRefGoogle ScholarPubMed
Stecchini, M. & Corrias, G. (1982) Treatment of alcoholic patients with tiapride. Semaine des Hôpitaux de Paris, 58, 27242726.Google Scholar
Stockwell, T., Hodgson, R., Edwards, G., Taylor, C. & Rankin, H. (1979) The development of a questionnaire to measure severity of alcohol dependence. British Journal of Addiction, 74, 7987.Google Scholar
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