Atypical Antipsychotics and Vitamin C integration

If the building blocks of protien which are amino acids, their coenzymes which are vitamins and the cofactors of vitamins which are minerals actually comprise the very neurotransmitters that our brains squirt around; and, if essential fatty acids like omega 3 and omega 6 make up 60 percent of the brain! Then doesn't it rationalize out that they may be used to prevent, treat, and reverse mental disorders? Or, help to reduce the dosage of medications and reduce side effects?
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G. N. Dakhale1, S. D. Khanzode1, 2 Contact Information, S. S. Khanzode3 and A. Saoji4

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(1)  Department of Pharmacology, Government Medical College, Nagpur, India
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(2)  46, S.E. Rly Colony (1), Venkatesh Apartment, Pratap Nagar, Nagpur, Maharashtra, 440 022, India
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(3)  Biochemist in Medicine, Government Medical College, Nagpur, India
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(4)  Department of Psychiatry, Government Medical College, Nagpur, India

Received: 3 February 2005  Accepted: 27 June 2005  Published online: 13 August 2005

Abstract
Rationale  Several investigators implicated role of free radical-mediated pathology in schizophrenia. No study has ever examined the effect of vitamin C with atypical antipsychotics in the treatment of schizophrenia.
Objective  The aim of this study was to examine the effect of oral vitamin C with atypical antipsychotics on serum malondialdehyde (MDA), plasma ascorbic acid levels, and brief psychiatric rating scale (BPRS) score in schizophrenic patients.
Method  Forty schizophrenic patients participated in a prospective, double-blind, placebo-controlled, noncrossover, 8-week study. The patients with schizophrenia were divided randomly into placebo and vitamin C group of 20 each. Serum MDA and plasma ascorbic acid were estimated by methods of Nischal and Aye, respectively.
Result  Increased serum MDA and decreased plasma ascorbic acid levels were found in schizophrenic patients. These levels were reversed significantly after treatment with vitamin C along with atypical antipsychotics compared to placebo with atypical antipsychotics. BPRS change scores at 8 weeks improved statistically significant with vitamin C as compared to placebo.
Conclusion  Oral supplementation of vitamin C with atypical antipsychotic reverses ascorbic acid levels, reduces oxidative stress, and improves BPRS score, hence both the drugs in combination can be used in the treatment of schizophrenia.

Keywords  Schizophrenia - Vitamin C - Atypical antipsychotics - Oxidative stress - BPRS score

 

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