
Efficacy of clonidine transdermal patch for treatment of Tourette's syndrome in children
KANG Hua, ZHANG Yue-Fang, JIAO Fu-Yong, GUO Xiang-Yang, GAO Xiao-Min
Chinese Journal of Contemporary Pediatrics ›› 2009, Vol. 11 ›› Issue (07) : 537-539.
Efficacy of clonidine transdermal patch for treatment of Tourette's syndrome in children
OBJECTIVE: Children with Tourette's syndrome (TS) have a poor treatment compliance due to side effects and inconvenient administration of oral drugs. This study explored the efficacy and safety of clonidine transdermal patch for treating TS in children. METHODS: A total of 119 children with TS were randomly treated with the clonidine transdermal patch (n=65) or with oral haloperidol (n=54). The therapeutic efficacy was assessed based on the results of the Yale Global Tic Severity Scale (YGTSS) 4 weeks after treatment. RESULTS: The clonidine transdermal patch group showed a higher reduction in the overall tic symptom scores (61.5±7.5%) than that in the haloperidol group (41.0±6.3%; P<0.05). Clonidine transdermal patch treatment was effective in 53 patients (81.5%) and 36 patients (67.5%) showed effective to oral haloperidol (P>0.05). Mild side effects (decrease of blood pressure and dizziness) were observed in 1 patient in the clonidine transdermal patch group. Mild hypermyotonia, drowsiness or lassitude as side effects occurred in 6 patients in the haloperidol group. CONCLUSIONS: Clonidine transdermal patch is effective for the treatment of TS in children and its side effects are mild and rare.[Chin J Contemp Pediatr, 2009, 11 (7):537-539]
Clonidine transdermal patch / Haloperidol / Tourette’s syndrome / Child
[1]胡亚美,江载芳.诸福棠实用儿科学[M].第7版.北京:人民卫生出版社,2005,1962-1964.
[2]中华医学会精神科学会.抽动障碍诊断标准,CCDM-Ⅱ-R[S].南京:东方大学出版社,1995,118-120.
[3]钟佑泉,吴惧,谢晓丽,胡文广,周文智. 耶鲁抽动症整体严重度量表对抽动障碍患儿的临床评估[J].中国实用儿科杂志,2006, 21(3):214-216.
[4]Chang SW, McCracken JT, Piacentini JC. Neurocognitive correlates of child obsessive compulsive disorder and Tourette syndrome [J]. J Clin Exp Neuropsychol, 2007, 29(7):724-733.
[5]匡桂芳,傅平,周长虹,衡中玉. 抽动障碍患儿的智力记忆力自我意识及个性特征研究[J]. 中国行为医学科学,2004,13(5):509-511.
[6]郑亚兵,宋雄. 泰必利和氟哌啶醇治疗多发性抽动症依从性比较[J]. 广西中医学院学报, 2002,15(2):22-23.
[7]Pringsheim TA, Davenport WJ, Lang AC. Tics movement disorders[J]. Curr Opin Neurol, 2003, 16(4):523-527.
[8]Lichter DG, Jackson LA. Predictors of clonidine response in Tourette syndrome: implications and inferences[J]. J Child Neurol, 1996, 11(2):93-97.
[9]Gaffney GR, Perry PJ, Lund BC, Bever-Stille KA, Arndt S, Kuperman S. Risperidone versus clonidine in the treatment of children and adolescents with Tourette′s syndrome[J]. J Am Acad Child Adolesc Psychiatry, 2002, 41(3): 330-336.
[10]Singer HS, Gammon K, Quaskey S. Haloperidol, fluphenazine and clonidine in Tourette syndrome: controversies in treatment[J]. Pediatr Neurosci, 19851986, 12(2):71-74.
[11]Behrman A, Goertemoeller S. A sticky situation: toxicity of clonidine and fentanyl transdermal patches in pediatrics[J]. J Emerg Nurs, 2007, 33(3):290-293.