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The effect of famotidine addition on olanzapine-induced weight gain in first-episode schizophrenia patients: a double-blind placebo-controlled pilot study.

Abstract
Olanzapine treatment is associated with substantial weight gain. In this double-blind placebo-controlled study we evaluated whether the H2 antagonist famotidine may prevent/attenuate olanzapine-induced weight gain. Fourteen first-episode DSM-IV schizophrenia patients were randomly allocated to receive either famotidine (40 mg/day, n=7) or placebo (n=7) in addition to olanzapine (10 mg/day) for 6 weeks. All patients completed the trial. Patients in both groups showed a similar increase in body weight (olanzapine/famotidine: 4.8 (3.2) kg and olanzapine/placebo: 4.9 (1.6) kg, respectively; a between-group difference of 0.14 (1.3) kg). Four of seven (57.1%) patients in the olanzapine/famotidine group and three of seven (42.9%) in the olanzapine/placebo group gained at least 7% of their initial body weight, a cut-off for clinically significant weight gain. Famotidine addition was safe and well tolerated and did not interfere with olanzapine's therapeutic effect. In conclusion, famotidine (40 mg/day for 6 weeks) is not effective in preventing/attenuating weight gain in olanzapine-treated first-episode schizophrenia patients.
AuthorsMichael Poyurovsky, Vered Tal, Rachel Maayan, Irit Gil-Ad, Camil Fuchs, Abraham Weizman
JournalEuropean neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology (Eur Neuropsychopharmacol) Vol. 14 Issue 4 Pg. 332-6 (Aug 2004) ISSN: 0924-977X [Print] Netherlands
PMID15163444 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
Chemical References
  • Antipsychotic Agents
  • Histamine H2 Antagonists
  • Benzodiazepines
  • Famotidine
  • Olanzapine
Topics
  • Adult
  • Antipsychotic Agents (adverse effects)
  • Benzodiazepines (adverse effects)
  • Body Mass Index
  • Double-Blind Method
  • Drug Interactions
  • Famotidine (pharmacology)
  • Female
  • Histamine H2 Antagonists (pharmacology)
  • Humans
  • Male
  • Olanzapine
  • Pilot Projects
  • Psychiatric Status Rating Scales
  • Schizophrenia (drug therapy, physiopathology)
  • Time Factors
  • Weight Gain (drug effects)

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