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Evidence summaries

Pharmacological Treatments for Psychosis-Related Polydipsia

There is no evidence from controlled trials on the effects of pharmacological treatments for psychosis-related polydipsia. Level of evidence: "D"

A Cochrane review [Abstract] 1 included 2 trials with a total of 17 subjects (duration 3-6 weeks). Few data were reported and, because of inappropriate use of crossover methodology, it could not all be used in this review. For the few chronically ill people in these trials, neither the "active" tetracycline bacteriostatic agent, oral demeclocycline, nor the opiate antagonist naloxone, nor placebo, gave any suggestion of serious adverse effects for a period of up to six weeks. The two small studies did not report any useful data on measures of polydipsia, physical symptoms secondary to increased fluid intake, mental state, general functioning or economic outcomes.

Reviewers' conclusions: The trials offer little to the clinician hoping to treat psychosis-related polydipsia with drugs, except that further evaluative studies need to be conducted in this area.

    References

    • Brookes G, Ahmed AG. Pharmacological treatments for psychosis-related polydipsia. Cochrane Database Syst Rev 2006 Oct 18;(4):CD003544. [PubMed]

Primary/Secondary Keywords