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Biomedical subjects

D Ginestet

Publications and source records attributed to D Ginestet.

At least 55 records · Page 3Linked to original sources

[Prolonged-action drugs in psychiatric therapeutics : gaps and needs].

The most accomplished model in this type of therapy is presently that of the long-acting neuroleptic (L.A.N.). Some target-symptoms are privileged : schizophrenic inertia (piportil or flupentixol derivatives), delusions (fluphenazine derivatives). But on the other hand, a sedative action has not been considered as benefic in long-acting drugs, and we're still in need of an L.A.N. whose hallucinolytic action would favourably compared with haloperidol. In the field of antidepressants, improvements appear as necessary. It is highly desirable to find compounds whose action would be really powerful, whose duration of action would last more than 24 or 48 hours ; the compound being administred either as an embonate or intra-muscularly in an attempt to limit the risks of suicide. Researches are being conducted : 1) to obtain long-acting antiparkinsonian correctors ; 2) to find out some form of lithium salts which, after one administration, would allow a stable nycthemeral lithiemy.

Antiparkinson Agents↗

[Trial of interruption of antiparkinson drugs in long term treatments with neuroleptics].

The authors by placebo methods interrupted the antiparkinsonian treatment in chronic psychotic patients who had a neuroleptic treatment for at least three months. Three weeks after: 72 percent had to receive the antiparkinsonian they took before, in consequence of extrapyramidal manifestations (an half of the sample receive this antiparkinsonian during the first week), and more than a third presented an acute psychotic outbreak. However, 28 percent of the total sample were still with placebo. Authors are questioning the psychotropic activity of antiparkinsonians, the influence of neuroleptic doses and the specificity of each administred neuroleptic. They conclude in opposition with other authors, to the necessity of prescribing continuously antiparkinsonians in most of the cases of chronic psychoses, in long-term neuroleptic treatment.

Adult↗

[Trial of verification of the thymoanaleptic action of hypothalamic thyrostimulin (thyrotropin releasing factor of TRF) in melancholic states].

After the studies conducted by PRANGE and KASTIN in 1972, we tried to verify whether T.R.F. had a real thymo-analeptic effect and if a repeated administration could cure a depressive state. We used T.R.F. either intra-venously -- in slow perfusion or directly -- (1 mg per day) or p.o. (30 mg per day) on 18 mono or bipolar melancolic patients. The treatment lasted from 8 to 21 days. We have observed 4 good results obtained between the second and the sixth day, all among bipolar melancolic patients. In the other cases the results were negative. In all cases the tolerance was very good. These results, though very limited, present very interesting perspectives about a physiological substance whose site and actions are known with a relative precision.

Administration, Oral↗

[Psychotropic drugs and mechanisms of mood regulation].

Pharmaco-psychiatry has contributed to the study of mood regulation mechanisms (thymo-regulation). Anti-manic neuroleptics may induce depressions: anti-depressants may cause mood inversion (with artificial "bipolarity"), and lithium has an action upon alternating disorders of the mood. Correlations with the extrapyramidal syndromes are to be noted: parkinsonism going along with depression, and the antiparkinsonian action with the stimulation of mood. The extent of the role played by neuro-hormones, beta-inhibitors, and releasing-factors is still under discussion. The theoretical notion of mood regualtion makes it possible to single out a special type of psycho-stimulation implying manifold applications.

Antidepressive Agents↗