RecruitingPhase 2ACTRN12614000619640

The effect of Memantine on cognition disorders induced by Electroconvulsive therapy (ECT)

A double blind randomized clinical trial to evaluate the effect of oral memantine on the prevention of post ECT cognition disorders


Sponsor

Mohammad Abbasinazari

Enrollment

40 participants

Start Date

Feb 28, 2014

Study Type

Interventional

Conditions

Summary

one major complication of electroconvulsive therapy (ECT) is the potential for temporary mild to moderate cognitive impairment. Memantine (a NMDA antagonist agent) has a beneficial effect on cognition in patients with moderate to severe Alzheimer ’s disease. The purpose of this study was to assess the effectiveness of Memantine 5mg/d in the prevention of cognitive impairments during ECT treatment. A prospective, double blind, placebo controlled trial included 40 patients underwent ECT will be done. Patients will randomly select to receive either memantine 5 mg/d or a placebo. Drug or placebo started the day before doing ECT and continue throughout the fourth course of ECT. An objective measure of cognitive function is Modified Mental Status Examination (MMSE) and will be performed pre-ECT and post-ECT. Finally score of MMSE before and after ECT will be compare.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 60 Yearss

Plain Language Summary

Simplified for easier understanding

Electroconvulsive therapy (ECT) is a treatment for severe depression and other mental health conditions, but it can temporarily affect memory and thinking. This study is testing whether a medication called memantine — which is used to treat Alzheimer's disease — can protect against these memory and thinking changes when taken during ECT treatment. Participants will be randomly assigned to receive either memantine or a placebo before and during ECT, and cognitive testing will be done before and after. You may be eligible if: - You are between 18 and 60 years old - You are scheduled to undergo electroconvulsive therapy (ECT) at a participating hospital - You are able to give informed consent You may NOT be eligible if: - You have kidney or liver failure - You have a cardiac conduction block (a type of heart rhythm problem) - You are taking medications with anticholinergic or NMDA-blocking effects - You are pregnant or breastfeeding Talk to your doctor about whether this trial might be right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Administration of oral memantine 5 mg daily that will be start the day before doing ECT. Adherence monitoring will be done by counting tablet return by patients.Meantime 5mg daily continue throughout

Administration of oral memantine 5 mg daily that will be start the day before doing ECT. Adherence monitoring will be done by counting tablet return by patients.Meantime 5mg daily continue throughout the fourth course of ECT (last dose at fourth course of ECT)


Locations(1)

Tehran, Iran, Islamic Republic Of

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ACTRN12614000619640