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In spite of the numerous studies on schizophrenia, its etiology and physiopathology remain unknown. Evidence suggests a possible implication of nitric oxide (NO) in schizophrenia. NO is a gas with unique chemistry and influences the release of neurotransmitters, learning, memory and neurodevelopment. Recent studies that investigated the role of NO in patients with schizophrenia found evidence that points to a disruption in NO-mediated neurotransmission in schizophrenia. Accordingly, we believe that the administration of sodium nitroprusside, an NO donor, will ameliorate schizophrenia symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sodium nitroprusside | Experimental |
| |
| Placebo | Placebo Comparator | Glucose solution 5% |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sodium nitroprusside | Drug | Intravenous infusion of 0,5 mcg/kg/min for 240 minutes |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in BPRS score | Brief Psychiatric Rating Scale | baseline and up to 4 weeks |
| Change in PANSS negative subscale score | Positive and Negative Syndrome Scale | Every hour for 4 hours, then at +12h, then daily for 7 days, then weekly for 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive assessment | FAS, 2-back, Stroop Color Word Test | Baseline and after 12 h |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jaime EC Hallak, Doctor | Ribeirao Preto Medical School, University of Sao Paulo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University General Hospital of the Ribeirao Preto Medical School | Ribeirão Preto | São Paulo | 14048-900 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23699763 | Derived | Hallak JE, Maia-de-Oliveira JP, Abrao J, Evora PR, Zuardi AW, Crippa JA, Belmonte-de-Abreu P, Baker GB, Dursun SM. Rapid improvement of acute schizophrenia symptoms after intravenous sodium nitroprusside: a randomized, double-blind, placebo-controlled trial. JAMA Psychiatry. 2013 Jul;70(7):668-76. doi: 10.1001/jamapsychiatry.2013.1292. |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D009599 | Nitroprusside |
| ID | Term |
|---|---|
| D005292 | Ferricyanides |
| D003486 | Cyanides |
| D000838 | Anions |
| D007477 | Ions |
| D004573 |
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| Glucose solution |
| Drug |
Intravenous infusion of glucose solution 5% for 240 minutes |
|
| Electrolytes |
| D007287 | Inorganic Chemicals |
| D005290 | Ferric Compounds |
| D058085 | Iron Compounds |
| D006856 | Hydrogen Cyanide |
| D017672 | Nitrogen Compounds |