A double blind trial of naloxone in the treatment of acute stroke.

Abstract:

:Naloxone has been reported to have potential benefit in the treatment of stroke. We evaluated the effect of naloxone in a double-blind trial conducted with 15 stroke patients whose deficits ranged from 8 to 60 hours in duration. All but one patient sustained a cerebral infarction. Neurologic function was assessed before and five minutes after each of two injections given to each patient in a double-blind fashion. The injections consisted of naloxone (0.4 mg in 3 patients and 4.0 mg in 12 patients) and saline. Prior to the trial, samples of plasma were obtained for determination of immunoreactive beta-endorphin for each patient. Four patients showed minimal improvement following injection of naloxone, while five patients exhibited a slightly greater improvement following saline injection. There were no significant elevations of plasma beta-endorphin among stroke patients. We conclude that naloxone may not have a significant therapeutic role for stroke in the clinical setting.

journal_name

Stroke

journal_title

Stroke

authors

Fallis RJ,Fisher M,Lobo RA

doi

10.1161/01.str.15.4.627

subject

Has Abstract

pub_date

1984-07-01 00:00:00

pages

627-9

issue

4

eissn

0039-2499

issn

1524-4628

journal_volume

15

pub_type

临床试验,杂志文章

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