PMID- 35195549 OWN - NLM STAT- MEDLINE DCOM- 20220412 LR - 20220412 IS - 1537-162X (Electronic) IS - 0362-5664 (Linking) VI - 45 IP - 2 DP - 2022 Mar-Apr 01 TI - Effectiveness of Atomoxetine (Strattera) for the Treatment of Poststroke Aphasia Combined With Cognitive Impairment. PG - 17-20 LID - 10.1097/WNF.0000000000000495 [doi] AB - OBJECTIVE: In this study, we aimed for the first time to evaluate the effectiveness of atomoxetine (Strattera) in the treatment of cognitive impairment and aphasia after stroke in a large sample. METHODS: We reviewed the data of 106 patients with poststroke aphasia and cognitive impairment (atomoxetine treatment group = 55 patients vs control group = 51 patients), including scores of the Korean version of the Mini-Mental State Examination (K-MMSE) and the Korean version of the Western Aphasia Battery. Wilcoxon signed-rank tests were used to compare the initial and follow-up K-MMSE and Korean version of the Western Aphasia Battery scores. Mann-Whitney U tests were used to compare the degree of improvement in K-MMSE and Aphasia Quotient (AQ) scores between the atomoxetine and control groups. RESULTS: Baseline characteristics including age, years of education, and scores of the initial Functional Independence Measure, Korean version of the Modified Barthel Index, Hamilton Depression Rating Scale, K-MMSE, and AQ did not differ significantly between the 2 groups. Follow-up K-MMSE and AQ scores were significantly better than the initial scores in both the treatment and control groups. However, improvements in K-MMSE scores were significantly greater in the treatment group than in the control group. In addition, the atomoxetine group had significantly higher AQ scores than the control group, especially for auditory verbal comprehension and naming. CONCLUSIONS: Atomoxetine has been shown to significantly improve cognitive function and language in patients with poststroke aphasia. It is also the first study to report improvement in auditory comprehension and naming by administration of atomoxetine. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Park, Jong Mi AU - Park JM AD - Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea. FAU - Choi, Soojin AU - Choi S FAU - Kim, Yong Wook AU - Kim YW LA - eng PT - Journal Article PL - United States TA - Clin Neuropharmacol JT - Clinical neuropharmacology JID - 7607910 RN - 57WVB6I2W0 (Atomoxetine Hydrochloride) SB - IM MH - *Aphasia/drug therapy/etiology/rehabilitation MH - Atomoxetine Hydrochloride/therapeutic use MH - *Cognitive Dysfunction/drug therapy/etiology MH - Humans MH - Mental Status and Dementia Tests MH - *Stroke/complications COIS- Conflicts of Interest and Source of Funding: The authors have no conflicts of interest to declare. EDAT- 2022/02/24 06:00 MHDA- 2022/04/13 06:00 CRDT- 2022/02/23 12:26 PHST- 2022/02/24 06:00 [pubmed] PHST- 2022/04/13 06:00 [medline] PHST- 2022/02/23 12:26 [entrez] AID - 00002826-900000000-99431 [pii] AID - 10.1097/WNF.0000000000000495 [doi] PST - ppublish SO - Clin Neuropharmacol. 2022 Mar-Apr 01;45(2):17-20. doi: 10.1097/WNF.0000000000000495.