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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />

Serum prolactin (µIU/ml)<br />

as well as Pr<strong>of</strong>essor Hippius and Dr. Grohmann (Munich).<br />

The system is used to record clinically significant severe<br />

side effects. All recorded cases are discussed in central<br />

conferences, and <strong>the</strong> correlation between undesirable<br />

effects and <strong>the</strong> medication administered is evaluated. Biannual<br />

investigations <strong>of</strong> census samples allow a comparative<br />

estimation <strong>of</strong> <strong>the</strong> relative frequency <strong>of</strong> undesirable drug<br />

side effects for various psychotropic drugs. In addition, case<br />

documentation is used for <strong>the</strong> casuistic analysis <strong>of</strong> unusual,<br />

new side effects.<br />

104<br />

400<br />

360<br />

320<br />

280<br />

240<br />

200<br />

160<br />

800<br />

400<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

-50<br />

Change in prolactin level (µIU/ml) 1.200<br />

Comparison group<br />

Patients<br />

120 -40 -20 0 20 40 60 80 100 120 140<br />

Time (min)<br />

Control group Unmedicated Medicated<br />

(n=12) (n=6) (n=14)<br />

Serum cortisol (ng/ml)<br />

200<br />

180<br />

160<br />

140<br />

120<br />

100<br />

80<br />

Comparison group<br />

Patients<br />

60 -40 -20 0 20 40 60 80 100 120 140<br />

Time (min)<br />

Figure 21: Serum hormone concentration (A, B) and maximum individual change in hormone levels after clomipramine infusion (C, D) prolactin (A, C) and cortisol<br />

(B, D) in control groups as well as patients in remission after an acute manic-depressive illness or depression, before and after <strong>the</strong> end <strong>of</strong> psychopharmaceutical<br />

treatment (unmedicated vs. medicated). Figure modified after Cordes et al., Depression and Anxiety 2009; 26:E111-E119.<br />

Change in cortisol level (µIU/ml)<br />

200<br />

150<br />

100<br />

50<br />

0<br />

-50<br />

Control group Unmedicated Medicated<br />

(n=12) (n=6) (n=14)<br />

Prevention <strong>of</strong> weight gain and metabolic changes during<br />

treatment with olanzapine: a randomised clinical trial<br />

J. Cordes, J. Thünker, A. Klimke, H. Hauner, B. Schuler,<br />

H. Franken-Rugies, C. Humpf<br />

Project period: 2005–2007<br />

Financing: Lilly GmbH Deutschland<br />

A total <strong>of</strong> 100 persons with schizophrenia newly treated with<br />

olanzapine were included. After four weeks <strong>of</strong> screening,<br />

participants were randomised into two groups: a prevention<br />

group (n=36), which participated in a psychoeducative weight<br />

management programme, and a control group (n=38), which

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