The International Journal of Neuropsychopharmacology



Treatment of behavioural, cognitive and circadian rest-activity cycle disturbances in Alzheimer's disease: haloperidol vs. quetiapine


Egemen Savaskan a1c1, Corina Schnitzler a2, Carmen Schröder a2, Christian Cajochen a2, Franz Müller-Spahn a1 and Anna Wirz-Justice a2
a1 Geriatric Psychiatry, University Psychiatric Hospitals, CH-4025 Basel, Switzerland
a2 Centre for Chronobiology, University Psychiatric Hospitals, CH-4025 Basel, Switzerland

Article author query
savaskan e   [PubMed][Google Scholar] 
schnitzler c   [PubMed][Google Scholar] 
schroder c   [PubMed][Google Scholar] 
cajochen c   [PubMed][Google Scholar] 
muller-spahn f   [PubMed][Google Scholar] 
wirz-justice a   [PubMed][Google Scholar] 

Abstract

This 5-wk, open-label, comparative study investigated the effects of quetiapine and haloperidol on behavioural, cognitive and circadian rest–activity cycle disturbances in patients with Alzheimer's disease (AD). Out of a total of 30 patients enrolled in the study, there were 22 completers, 11 in the quetiapine group (mean age 81.9±1.8 yr, mean baseline MMSE 19.9±1.3, mean dose 125 mg) and 11 in the haloperidol group (mean age 82.3±2.5 yr, mean baseline MMSE 18.1±1.3, mean dose 1.9 mg). As shown in the Neuropsychiatric Inventory, both medications reduced delusion and agitation, whereas quetiapine additionally improved depression and anxiety. Haloperidol worsened aberrant motor behaviour and caused extrapyramidal symptoms. In the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological test battery which assessed cognitive parameters, quetiapine improved word recall; significant interaction terms revealed differences between quetiapine and haloperidol in word-list memory and constructional praxis. According to the Nurses' Observation Scale for Geriatric Patients (NOSGER) quetiapine improved instrumental activities of daily living. Actimetry documented the circadian rest–activity cycle before and after treatment. Sleep analysis revealed that patients receiving quetiapine had shorter wake bouts during the night, whereas patients receiving haloperidol had fewer though longer immobile phases. The study provides evidence that quetiapine at a moderate dose may be efficacious in treating behavioural disturbances in AD, with better tolerability than haloperidol.

(Received April 12 2005)
(Reviewed May 29 2005)
(Revised July 4 2005)
(Accepted July 7 2005)
(Published Online September 5 2005)


Key Words: Actimetry; Alzheimer's disease; behavioural symptoms; haloperidol; quetiapine.

Correspondence:
c1 University Psychiatric Hospitals, Wilhelm Klein-Str.27, CH-4025 Basel, Switzerland. Tel.: ++41-61-3255319 Fax: ++41-61-3255585 E-mail: egemen.savaskan@upkbs.ch


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