PMID- 37966444 OWN - NLM STAT- MEDLINE DCOM- 20231116 LR - 20231116 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 123 IP - 10 DP - 2023 TI - [Therapy of asthenic disorders after psychotic conditions in patients with cognitive impairment: results of an observational non-interventional program]. PG - 81-87 LID - 10.17116/jnevro202312310181 [doi] AB - OBJECTIVE: An observational non-interventional study was conducted to obtain data on the efficacy and safety of Prospekta in the treatment of postpsychotic asthenia in patients with cognitive impairment (CI). MATERIAL AND METHODS: We selected 69 patients aged 18-75 years with asthenic disorders that developed after suffering psychotic conditions and CI, who were prescribed Prospekta. At four visits (at baseline, after 2, 4 and 8 weeks), the doctor collected complaints, anamnesis, examined the patient, assessed the severity of asthenia on the MFI-20 (The Multidimensional Fatigue Inventory-20) scale, CI - on the MMSE (The Mini-mental state examination). Concomitant diseases and maintenance therapy of the underlying disease were recorded, and the safety of treatment with Prospect was evaluated. At the last visit, the doctor's clinical impression was assessed using the CGI-I (Clinical Global Impression - Global Improvement Scale). RESULTS: The analysis included data from 69 patients (mean age 45.7 years), of which 27 (33.4%) were women. Prospekta reduced the severity of asthenia on the MFI-20 scale from 85.7+/-6.6 to 51.6+/-7.1 points, including general asthenia, mental and physical asthenia, and contributed to an increase in activity and motivation (p<0.001). 8-week treatment with Prospekta improved cognitive function on the MMSE scale from 25.7+/-3.7 to 28.8+/-1.5 points (p<0.001). There was no effect of the drug on blood pressure, heart rate. 76 adverse events (AEs) were detected in 22 patients, of which 62 AEs (82%) were of mild severity, 14 AEs (18%) were of moderate severity. A causal relationship of AEs with taking Prospekta, according to doctors, was absent in 48 (63%) cases. CONCLUSION: Prospekta is an effective and safe drug for the treatment of asthenic disorders that have developed after suffering psychotic conditions in patients with CI. FAU - Chubarovsky, V V AU - Chubarovsky VV AUID- ORCID: 0000-0002-4108-6969 AD - Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia. FAU - Vanchakova, N P AU - Vanchakova NP AUID- ORCID: 0000-0003-1997-0202 AD - Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia. FAU - Zun, S A AU - Zun SA AD - Kirov Military Medical Academy, St. Petersburg, Russia. FAU - Parashchenko, A F AU - Parashchenko AF AUID- ORCID: 0009-0000-0124-5227 AD - Razumovsky Saratov State Medical University, Saratov, Russia. FAU - Kolyago, O O AU - Kolyago OO AUID- ORCID: 0000-0001-7595-1239 AD - Blokhin National Medical Research Center of Oncology, Moscow, Russia. AD - Mental Health Research Center, Moscow, Russia. FAU - Potapov, I V AU - Potapov IV AUID- ORCID: 0009-0000-4681-8199 AD - Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia. FAU - Savchenkov, V A AU - Savchenkov VA AUID- ORCID: 0000-0002-4953-3233 AD - Korsakov Clinic of Psychiatry, Moscow, Russia. FAU - Ushkalova, A V AU - Ushkalova AV AUID- ORCID: 0000-0002-8030-8077 AD - Medical Center <>, Moscow, Russia. LA - rus PT - English Abstract PT - Journal Article PT - Observational Study TT - Terapiya astenicheskikh rasstroistv posle perenesennykh psikhoticheskikh sostoyanii u patsientov s kognitivnymi narusheniyami: rezul'taty nablyudatel'noi neinterventsionnoi programmy. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 SB - IM MH - Humans MH - Female MH - Middle Aged MH - Male MH - *Asthenia/drug therapy/etiology MH - *Cognitive Dysfunction/etiology MH - Cognition MH - Blood Pressure MH - Heart Rate OTO - NOTNLM OT - Prospekta OT - asthenia OT - cognitive impairment OT - observational non-interventional study OT - psychotic disorders EDAT- 2023/11/15 12:43 MHDA- 2023/11/16 06:45 CRDT- 2023/11/15 10:47 PHST- 2023/11/16 06:45 [medline] PHST- 2023/11/15 12:43 [pubmed] PHST- 2023/11/15 10:47 [entrez] AID - 10.17116/jnevro202312310181 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(10):81-87. doi: 10.17116/jnevro202312310181.