Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.

Objective: Withdrawal symptoms are a main reason of continuous use of opioid. This study compares the efficacy of augmentation of amantadine with clonidine in decreasing opioid withdrawal symptoms. Methods: This double-blind randomized clinical trial was carried out in the detoxification and rehabi...

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Main Authors: Shahrokh Amiri, Ayyoub Malek, Farid Tofighnia, Bohlool Habibi Asl, Ali Seidy
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2014-09-01
Series:Iranian Journal of Psychiatry
Subjects:
Online Access:https://ijps.tums.ac.ir/index.php/ijps/article/view/53
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author Shahrokh Amiri
Ayyoub Malek
Farid Tofighnia
Bohlool Habibi Asl
Ali Seidy
author_facet Shahrokh Amiri
Ayyoub Malek
Farid Tofighnia
Bohlool Habibi Asl
Ali Seidy
author_sort Shahrokh Amiri
collection DOAJ
description Objective: Withdrawal symptoms are a main reason of continuous use of opioid. This study compares the efficacy of augmentation of amantadine with clonidine in decreasing opioid withdrawal symptoms. Methods: This double-blind randomized clinical trial was carried out in the detoxification and rehabilitation inpatient ward at Razi Hospital, Tabriz, Iran during 2012. The patients were randomly assigned to receive clonidine or clonidine plus amantadine; and withdrawal symptoms were evaluated in the admission day and 24, 48, and 72 hours later. Data were analyzed using SPSS by the 2*2 repeated analyses of variances (ANOVA). Results: From the total of 69 participants, 30 patients completed the trial in each group. The severity of symptoms, however, had an increasing trend in both groups. Analysis of variance of the symptom severity score (by The Clinical Opiate Withdrawal Scale) revealed a significant group-time interaction, and the patients who were receiving amantadine experienced milder symptoms . Conclusions: Treatment of opioid withdrawal symptoms with amantadine and clonidine would result in a better outcome compared with clonidine alone.
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spelling doaj.art-71861fa83dc048d7ac92407ca9d1bdbe2022-12-21T19:32:11ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152014-09-019349Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.Shahrokh Amiri0Ayyoub Malek1Farid Tofighnia2Bohlool Habibi Asl3Ali Seidy4Clinical psychiatry research center (CPRC), Tabriz University of medical sciences, Tabriz, IranClinical psychiatry research center (CPRC), Tabriz University of medical sciences, Tabriz, IranDepartment of psychiatry, Tabriz University of medical sciences, Tabriz, IranDepartment of Pharmacology, Tabriz University of Medical Sciences- Tabriz-IranDepartment of psychiatry, Tabriz University of medical sciences, Tabriz, IranObjective: Withdrawal symptoms are a main reason of continuous use of opioid. This study compares the efficacy of augmentation of amantadine with clonidine in decreasing opioid withdrawal symptoms. Methods: This double-blind randomized clinical trial was carried out in the detoxification and rehabilitation inpatient ward at Razi Hospital, Tabriz, Iran during 2012. The patients were randomly assigned to receive clonidine or clonidine plus amantadine; and withdrawal symptoms were evaluated in the admission day and 24, 48, and 72 hours later. Data were analyzed using SPSS by the 2*2 repeated analyses of variances (ANOVA). Results: From the total of 69 participants, 30 patients completed the trial in each group. The severity of symptoms, however, had an increasing trend in both groups. Analysis of variance of the symptom severity score (by The Clinical Opiate Withdrawal Scale) revealed a significant group-time interaction, and the patients who were receiving amantadine experienced milder symptoms . Conclusions: Treatment of opioid withdrawal symptoms with amantadine and clonidine would result in a better outcome compared with clonidine alone.https://ijps.tums.ac.ir/index.php/ijps/article/view/53AmantadineClonidineWithdrawal Syndrome
spellingShingle Shahrokh Amiri
Ayyoub Malek
Farid Tofighnia
Bohlool Habibi Asl
Ali Seidy
Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
Iranian Journal of Psychiatry
Amantadine
Clonidine
Withdrawal Syndrome
title Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
title_full Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
title_fullStr Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
title_full_unstemmed Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
title_short Amantadine as Augmentation in Managing Opioid Withdrawal with Clonidine: a randomized controlled trial.
title_sort amantadine as augmentation in managing opioid withdrawal with clonidine a randomized controlled trial
topic Amantadine
Clonidine
Withdrawal Syndrome
url https://ijps.tums.ac.ir/index.php/ijps/article/view/53
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