To the Editor: Schneider et al. (Oct. 12 issue)1 conclude thatthe adverse effects of atypical antipsychotic drugs for thetreatment of psychosis, aggression, and agitation in patientswith Alzheimer's disease offset the advantages. However, theyacknowledge that the doses used in the study were lower thansome clinicians would have used and that patients could discontinuea study drug (a main outcome) and randomly switch to anotherof the study drugs. The rate of discontinuation of treatmentranged from 77 to 85% among the four study groups.
An accompanying editorial by Karlawish2 highlights the noveltyof this trial's design, . . . [Full Text of this Article]
Rosenheck, R. A., Leslie, D. L., Sindelar, J. L., Miller, E. A., Tariot, P. N., Dagerman, K. S., Davis, S. M., Lebowitz, B. D., Rabins, P., Hsiao, J. K., Lieberman, J. A., Schneider, L. S., for the Clinical Antipsychotic Trial of Interventi,
(2007). Cost-Benefit Analysis of Second-Generation Antipsychotics and Placebo in a Randomized Trial of the Treatment of Psychosis and Aggression in Alzheimer Disease. Arch Gen Psychiatry
64: 1259-1268
[Abstract][Full Text]
Hussain, H. M.
(2007). Retraction: Hussain HM, Hotopf M, Oyebode F. Atypical Antipsychotic Drugs and Alzheimer's Disease. N Engl J Med 2007;356:416.. NEJM
356: 1481-1481
[Full Text]