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[Transdermal rivastigmine patch in outpatient services in Austria: a naturalistic study in 103 patients with Alzheimer dementia]. / Rivastigmin-Pflaster in der ambulanten Versorgung in Osterreich: eine naturalistische Studie an 103 PatientInnen mit Alzheimer Demenz.
Neuropsychiatr ; 23(1): 58-63, 2009.
Article en De | MEDLINE | ID: mdl-19272293
We performed a 6-month open-label study on the use of the transdermal rivastigmine patch in clinical routine in 103 patients with Alzheimer's disease from 25 outpatient services in Austria. After baseline, safety and tolerability of the 10 cm2--rivastigmine patch was assessed at week 4, 12 and 24 in all patients. A Mini Mental State Examination was done at baseline and at week 12 and 24. Skin adherence of the patch was very good or good in 85% of study participants. Only 2.9% of patients had gastrointestinal adverse events. Local skin reactions occurred in 23% of individuals. Skin alteration were mostly mild in severity. In only 6.8% of subjects did they result in termination of treatment. At the earliest skin reactions were observed after 3 months of treatment. Cognitive functioning of patients improved comparable to the controlled trial which led to approval of the rivastigmine patch. In daily routine the safety profile of the rivastigmine patch is favourable, as is the response to treatment. Local, mostly mild skin reactions affect approximately every fifth patient, and they occur relatively late in the course of therapy. Patients and their caregivers should receive detailed information about skin reactions to omit unnecessary drop outs to treatment.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Colinesterasa / Fenilcarbamatos / Enfermedad de Alzheimer Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: De Revista: Neuropsychiatr Año: 2009 Tipo del documento: Article Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Colinesterasa / Fenilcarbamatos / Enfermedad de Alzheimer Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: De Revista: Neuropsychiatr Año: 2009 Tipo del documento: Article Pais de publicación: Alemania