FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to psychiatry, and can be used to assess the effectiveness of using N-acetylcysteine (NAC) in patients with schizophrenia aged 18 to 45 years old, living with this disease for up to 3 years and in remission, receiving antipsychotics. Patient’s blood is sampled, and the level of non-enzymatic antioxidant reduced glutathione (GSH) in blood serum is measured. Standard values for GSH are set at the level higher than 950 mcmol/l. If the GSH level is below the standard values, N-acetylcysteine (NAC) is used in addition to the antipsychotics in dose of 2000 mg day for 8 weeks. After 8 weeks, the blood GSH level is reassessed. If the GSH level is more than 950 mcmol/l, the effectiveness of using NAC in patients with schizophrenia is determined.
EFFECT: method enables stratification of schizophrenic patients who are most likely to respond to antioxidant therapy; improved understanding of the effect of NAC on various aspects of schizophrenia, including cognitive functions and psychopathological symptoms; assessing the safety of using NAC as an augmentation to the main pharmacotherapy, taking into account the observed minimum risk of developing side effects; by measuring the level of GSH in the blood of the patients receiving antipsychotics, in addition to the antipsychotics of using NAC for 8 weeks with the level of GSH below the standard values, re-assessing the level of GSH in the blood of patients after 8 weeks.
1 cl, 2 ex
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Authors
Dates
2025-04-08—Published
2024-02-27—Filed