PMID- 28399097 OWN - NLM STAT- MEDLINE DCOM- 20170814 LR - 20181202 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 117 IP - 3 DP - 2017 TI - [Influence chronopharmacology therapy methionine (melaxen) on the dynamics of sleep disturbance, cognitive and emotional disorders, brain-derived neurotrophic factor (BDNF) in patients with cerebral stroke in the early and late recovery periods]. PG - 56-64 LID - 10.17116/jnevro20171173156-64 [doi] AB - AIM: To study the efficacy of melaxen on the dynamics of sleep disturbance, cognitive and emotional disorders, BDNF and the level of secretion of melatonin (6-SOMT) in patients with stroke in the early and late recovery phase. MATERIAL AND METHODS: One hundred and ten patients in the rehabilitation period of stroke (mean age of 58.4+/-6.4 years), including 60 patients in the early recovery phase (group 1) and 50 patients in the late phase (group 2), were studied. Patients received melaxen in dose of 3 mg/day for 3 months along with standard treatment. The efficacy of therapy was assessed by the dynamics of sleep disorders, emotional status, dynamics of serum BDNF levels, 6-SOMT concentration in the urine. RESULTS AND CONCLUSION: The study has demonstrated the high efficacy of melaxen in the rehabilitation of patients in early and late recovery phase of stroke. The drug significantly increased the BDNF level that correlated with improved sleep, emotional status, quality of life of patients. FAU - Kostenko, E V AU - Kostenko EV AD - Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department, Moscow, Russia, Pirogov Russian National Research Medical University, Moscow, Russia. LA - rus PT - Journal Article TT - Vliianie khronofarmakologicheskoi terapii melatoninom (melaksen) na dinamiku narushenii sna, kognitivnykh i emotsional'nykh rasstroistv, neirotroficheskogo faktora mozga u patsientov v vosstanovitel'nom periode insul'ta. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - JL5DK93RCL (Melatonin) SB - IM MH - Adult MH - Aged MH - Brain-Derived Neurotrophic Factor/*blood MH - Cognition Disorders/blood/*drug therapy/etiology MH - *Drug Chronotherapy MH - Female MH - Humans MH - Male MH - Melatonin/*administration & dosage MH - Middle Aged MH - Mood Disorders/blood/*drug therapy/etiology MH - Quality of Life MH - Sleep Wake Disorders/blood/*drug therapy/etiology MH - Stroke/blood/*complications MH - *Stroke Rehabilitation EDAT- 2017/04/12 06:00 MHDA- 2017/08/15 06:00 CRDT- 2017/04/12 06:00 PHST- 2017/04/12 06:00 [entrez] PHST- 2017/04/12 06:00 [pubmed] PHST- 2017/08/15 06:00 [medline] AID - 10.17116/jnevro20171173156-64 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(3):56-64. doi: 10.17116/jnevro20171173156-64.