Research Topics
Genomes and GenesSpecies | Nathan HerrmannSummaryAffiliation: Sunnybrook and Women's College Health Sciences Centre Country: Canada Publications
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Publications
Do atypical antipsychotics cause stroke?Nathan Herrmann
Division of Geriatric Psychiatry, University of Toronto, Toronto, Ontario, Canada
CNS Drugs 19:91-103. 2005..At the present time, this association is another factor that clinicians should consider when weighing the risks and benefits of treating behavioural and psychological disturbances in elderly dementia patients...
Panic disorder in later life: results from a national survey of CanadiansLaurie M Corna
Department of Public Health Sciences, University of Toronto, Canada
Int Psychogeriatr 19:1084-96. 2007..To address this gap, we examined the prevalence, risk markers, and comorbidity of panic disorder defined using DSM-IV criteria among older adults...
Current prescription patterns and safety profile of irreversible monoamine oxidase inhibitors: a population-based cohort study of older adultsKenneth I Shulman
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, M4N 3M5, Canada
J Clin Psychiatry 70:1681-6. 2009..To determine the prescription pattern and safety profile for irreversible monoamine oxidase inhibitors (MAOIs) in older adults over the past decade...
Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairmentJohn Cairney
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Toronto, ON
Am J Geriatr Psychiatry 16:201-8. 2008..In this study, the authors examine psychiatric comorbidity and associated impairment of four disorders (major depression, panic disorder, social phobia, and agoraphobia) in a community-based sample of adults aged 55 and older...
Genetic predictors of response to treatment with citalopram in depression secondary to traumatic brain injuryKrista L Lanctot
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Brain Inj 24:959-69. 2010..To determine which serotonergic system-related single nucleotide polymorphisms (SNPs) predicted variation in treatment response to citalopram in depression following a traumatic brain injury (TBI)...
Behavioral correlates of GABAergic disruption in Alzheimer's diseaseKrista L Lanctot
Neuropharmacology Research Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Int Psychogeriatr 19:151-8. 2007..Our objective was to assess the relationship between plasma GABA (pGABA) levels and specific BPSD in patients with severe AD...
The relationship between inflammatory markers and post stroke cognitive impairmentLana S Rothenburg
Neuropsychopharmacology Research Group, Toronto, Ontario, Canada
J Geriatr Psychiatry Neurol 23:199-205. 2010..Enzyme-linked immunosorbent assay (ELISA) was used to measure serum concentrations of CRP, interleukin 6 (IL-6), and interferon gamma (IFN-gamma)...
Antipsychotic drugs and the risk of hyperglycemia in older adults without diabetes: a population-based observational studyLorraine L Lipscombe
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Am J Geriatr Psychiatry 19:1026-33. 2011..To determine whether current antipsychotic use among older persons without diabetes is associated with a higher risk of hospital visits for hyperglycemia, as previous studies in this population have yielded conflicting results...
Cardiopulmonary fitness is associated with cognitive performance in patients with coronary artery diseaseWalter Swardfager
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Am Geriatr Soc 58:1519-25. 2010..To investigate the association between cardiopulmonary fitness and cognitive performance in subjects with coronary artery disease (CAD)...
Apathy associated with Alzheimer disease: use of dextroamphetamine challengeKrista L Lanctot
Department of Psychiatry, University of Toronto, Toronto, Canada
Am J Geriatr Psychiatry 16:551-7. 2008..To assess the role of the dopaminergic brain reward system (BRS) in apathy associated with Alzheimer disease (AD)...
A population-based study of cholinesterase inhibitor use for dementiaNathan Herrmann
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Am Geriatr Soc 55:1517-23. 2007....
A randomized controlled trial of antidepressant continuation for major depression following traumatic brain injuryMark J Rapoport
Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada
J Clin Psychiatry 71:1125-30. 2010..This study examines whether continuation therapy with citalopram can prevent a relapse following remission of major depression due to traumatic brain injury...
The effects of donepezil on computer-simulated driving ability among healthy older adults: a pilot studyMark J Rapoport
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Clin Psychopharmacol 31:587-92. 2011..This analysis does not support the use of donepezil to extend the period of safe driving among older adults, but further study is needed regarding its role among patients with cognitive disorders...
Traumatic brain injury, Apolipoprotein E-epsilon4, and cognition in older adults: a two-year longitudinal studyMark Rapoport
Sunnybrook Health Sciences Centre Geriatric Psychiatry, Toronto, Ontario, Canada
J Neuropsychiatry Clin Neurosci 20:68-73. 2008..Traumatic brain injury was not associated with higher rates of amnestic mild cognitive impairment or dementia, and APOE-epsilon4 was not associated with cognition...
Mental health-related drug utilization among older adults: prevalence, trends, and costsMuhammad Mamdani
Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, G119, Toronto, Ontario, Canada
Am J Geriatr Psychiatry 13:892-900. 2005..Authors assessed temporal changes in mental health-related drug utilization and costs in an older population...
The relationship between indoleamine 2,3-dioxygenase activity and post-stroke cognitive impairmentAllison B Gold
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Neuroinflammation 8:17. 2011....
Adverse drug events in cognitively impaired elderly patientsHooman Ganjavi
Neuropharmacology Research, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Dement Geriatr Cogn Disord 23:395-400. 2007..Adverse drug events (ADEs) are a frequent problem encountered in the elderly. The aim of this study was to elucidate the factors that influence ADEs in an elderly population with cognitive impairment...
Effect of regulatory warnings on antipsychotic prescription rates among elderly patients with dementia: a population-based time-series analysisElmira Valiyeva
The Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont
CMAJ 179:438-46. 2008..We assessed the impact of these warnings on prescription rates of antipsychotic drugs in this patient population...
Methylphenidate for the treatment of apathy in Alzheimer disease: prediction of response using dextroamphetamine challengeNathan Herrmann
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
J Clin Psychopharmacol 28:296-301. 2008..Psychostimulants may be effective in treating features of apathy in AD, and dopaminergic changes may predict response...
Antipsychotic drug use and mortality in older adults with dementiaSudeep S Gill
Queen s University, Kingston, Ontario, Canada
Ann Intern Med 146:775-86. 2007..Antipsychotic drugs are widely used to manage behavioral and psychological symptoms in dementia despite concerns about their safety...
Effects of 2-week treatment with temazepam and diphenhydramine in elderly insomniacs: a randomized, placebo-controlled trialJennifer R Glass
Faculty of Pharmaceutical Sciences, University of Toronto, Toronto, Ontario, Canada
J Clin Psychopharmacol 28:182-8. 2008..The choice of agent to use in the elderly must consider these relative benefits and risks...
Are vascular risk factors associated with post-stroke depressive symptoms?Gayla Tennen
Department of Clinical Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Geriatr Psychiatry Neurol 24:215-21. 2011..The objective of the current study was to determine whether VRFs are associated with the risk of PSD in an acute stroke population...
Verbal memory performance and completion of cardiac rehabilitation in patients with coronary artery diseaseWalter Swardfager
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Psychosom Med 73:580-7. 2011..To assess cognitive performance as a predictor of noncompletion of cardiac rehabilitation (CR) using a standardized verbal memory test...
Noradrenergic activity is associated with response to pindolol in aggressive Alzheimer's disease patientsNathan Herrmann
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre and University of Toronto, Toronto, Ontario, Canada
J Psychopharmacol 18:215-20. 2004..Individual patient characteristics, including underlying neurotransmitter changes, may be useful for predicting response to therapy...
Initiation of benzodiazepines in the elderly after hospitalizationChaim M Bell
Department of Medicine, St Michael s Hospital, 30 Bond Street, Toronto, Ontario, Canada, M5B 1W8
J Gen Intern Med 22:1024-9. 2007..To estimate the rate of new chronic benzodiazepine use after hospitalization in older adults not previously prescribed with benzodiazepines...
Changes in nursing burden following memantine for agitation and aggression in long-term care residents with moderate to severe Alzheimer's disease: an open-label pilot studyNathan Herrmann
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
CNS Drugs 25:425-33. 2011..Agitation and aggression are common neuropsychiatric symptoms of Alzheimer's disease (AD) with a negative impact on caregivers...
A functional neuroimaging study of appetite loss in Alzheimer's diseaseZahinoor Ismail
Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Neurol Sci 271:97-103. 2008..Alzheimer's Disease (AD) is frequently associated with changes in appetite. This study investigated the relationship between regional cerebral perfusion and appetite loss in AD...
A placebo-controlled trial of valproate for agitation and aggression in Alzheimer's diseaseNathan Herrmann
Neuropharmacology Research Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Dement Geriatr Cogn Disord 23:116-9. 2007..To assess the efficacy and tolerability of valproate for the treatment of agitation and aggression in moderate-to-severe Alzheimer's disease (AD)...
Predictors of driving cessation in mild-to-moderate dementiaNathan Herrmann
Sunnybrook Health Sciences Centre and the Department of Psychiatry, University of Toronto, Toronto, Ont
CMAJ 175:591-5. 2006..The purpose of our study was to explore factors that may affect the likelihood of driving cessation in a sample of elderly, community-dwelling patients with dementia...
Atypical antipsychotics and risk of cerebrovascular accidentsNathan Herrmann
Institute for Clinical and Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada
Am J Psychiatry 161:1113-5. 2004..This study examined the association between atypical antipsychotic use and stroke in the elderly...
Antidepressants, warfarin, and the risk of hemorrhagePaul A Kurdyak
The Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
J Clin Psychopharmacol 25:561-4. 2005..We speculated that, among patients receiving warfarin, initiation of selective serotonin reuptake inhibitor treatment would be associated with an increased risk of hospitalization for upper gastrointestinal tract bleeding (UGIB)...
Serotonin-1A receptors in frontotemporal dementia compared with controlsKrista L Lanctot
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Psychiatry Res 156:247-50. 2007..These pilot data suggest that profound 5-HT(1A) BP losses may be present and contribute to symptomatology and treatment response in FTLD...
Antipsychotic drugs and hyperglycemia in older patients with diabetesLorraine L Lipscombe
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Arch Intern Med 169:1282-9. 2009..Evidence suggests that there is an association between antipsychotic drugs and new-onset diabetes, but little is known about the risk of hyperglycemia among persons with preexisting diabetes...
Factor analysis of the Rivermead Post-Concussion Symptoms Questionnaire in mild-to-moderate traumatic brain injury patientsNathan Herrmann
Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5, Canada
J Neuropsychiatry Clin Neurosci 21:181-8. 2009..These results suggest that depression post-TBI may influence patient perception of postconcussion symptoms...
Validity and responsiveness to change of clinically derived MDS scales in Alzheimer disease outcomes researchKelly A Smart
Neuropsychopharmacology Research Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Geriatr Psychiatry Neurol 24:67-72. 2011..As these findings are preliminary, further research is needed to determine the utility of MDS scales in outcomes research...
The relation between disease severity and cost of caring for patients with Alzheimer disease in CanadaNathan Herrmann
Medical Outcomes and Research in Economics MORE Group, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Can J Psychiatry 55:768-75. 2010..to characterize the cost of caring for an outpatient in Canada with Alzheimer disease (AD) based on disease severity, and to describe how costs change with increases in disease severity...
Does pharmacological treatment of neuropsychiatric symptoms in Alzheimer's disease relieve caregiver burden?Karen Levy
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Drugs Aging 29:167-79. 2012..Given the importance of caregiver burden and its negative consequences for the caregiver and the patient, future clinical trials should pay more attention to this crucial outcome...
Pharmacologic management of neuropsychiatric symptoms of Alzheimer diseaseNathan Herrmann
Department of Psychiatry, University of Toronto, Ontario
Can J Psychiatry 52:630-46. 2007..To systematically review published clinical trials of the pharmacotherapy of neuropsychiatric symptoms of Alzheimer disease (AD)...
Outcome after traumatic brain injury sustained in older adulthood: a one-year longitudinal studyMark J Rapoport
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Ontario, Canada
Am J Geriatr Psychiatry 14:456-65. 2006..The clinical significance of this may become more evident with time in this vulnerable population...
Discontinuing cholinesterase inhibitors: results of a survey of Canadian dementia expertsNathan Herrmann
Department of Psychiatry and Faculty of Medicine, University of Toronto, and Division of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Int Psychogeriatr 23:539-45. 2011..Because there is little data to help clinicians to decide on when it is safe and appropriate to discontinue ChEIs after long-term use, practices may vary widely...
Efficacy and tolerability of antidepressants for treatment of depression in coronary artery disease: a meta-analysisYekta Dowlati
Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario
Can J Psychiatry 55:91-9. 2010..Our objective was to quantitatively summarize the data on the efficacy and tolerability of antidepressant (AD) treatment for depression in CAD...
The relationship between variations in antipsychotic prescribing across nursing homes and short-term mortality: quality of care implicationsSusan E Bronskill
Institute for Clinical Evaluative Sciences, Toronto, Ontario
Med Care 47:1000-8. 2009..Determining the extent to which variations in antipsychotic use are a symptom of facility-level quality problems as compared with a drug safety issue is important for selecting the correct interventions to effect change...
Benzodiazepine use and driving: a meta-analysisMark J Rapoport
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
J Clin Psychiatry 70:663-73. 2009..The purpose of the present study was to examine the experimental and epidemiologic evidence linking benzodiazepine use to driving impairment...
Persistence with cholinesterase inhibitor therapy for dementia: an observational administrative health database studyNathan Herrmann
Department of Psychiatry, Faculty of Medicine, University of Toronto, Ontario, Canada
Drugs Aging 26:403-7. 2009..To determine if choice of drug and ease of administration affect persistence of therapy with cholinesterase inhibitors (ChEIs) for treatment of dementia...
At-fault motor vehicle crash risk in elderly patients treated with antidepressantsMark J Rapoport
University of Toronto, Toronto, Ontario, Canada
Am J Geriatr Psychiatry 19:998-1006. 2011..To assess whether antidepressant treatment is associated with a temporary increase in the risk of a motor vehicle crash among older adults...
Antipsychotic use in the elderly: shifting trends and increasing costsMark Rapoport
Sunnybrook and Women s College Health Sciences Centre Departments of Psychiatry, Toronto, Canada
Int J Geriatr Psychiatry 20:749-53. 2005....
A positron emission tomography study of 5-hydroxytryptamine-1A receptors in Alzheimer diseaseKrista L Lanctot
Neuropharmacology Research Program and Geriatric Psychiatry, Toronto, Ontario, Canada
Am J Geriatr Psychiatry 15:888-98. 2007..Postmortem studies suggest decreased 5-HT(1A) receptors in patients with Alzheimer disease (AD), but this has not been confirmed in vivo. Our primary objective was to assess the extent of 5-HT(1A) receptor losses in mild to moderate AD...
The benefits and risks associated with cholinesterase inhibitor therapy in Alzheimer's diseaseSarah Thompson
Sunnybrook and Women's College Health Sciences Centre, Department of Psychiatry, Rm FG-05, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada
Expert Opin Drug Saf 3:425-40. 2004..Further study is needed to examine other indications for ChEIs, as well as their combination with newer treatments, such as memantine...
Epidemiology of social phobia in later lifeJohn Cairney
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Ontario, Canada
Am J Geriatr Psychiatry 15:224-33. 2007..Although anxiety disorders, including social phobia (SP), are common among older adults, very little is known about the epidemiology of SP in later life...
Growth hormone response to clonidine predicts aggression in Alzheimer's diseaseNathan Herrmann
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, Room FG05, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Psychoneuroendocrinology 29:1192-7. 2004..The neurobiology of aggression in Alzheimer's Disease (AD) remains unknown. The objective of this study was to determine if altered central noradrenergic (NE) responsiveness is related to aggression in AD...
The serotonin transporter polymorphisms and major depression following traumatic brain injuryFlorance Chan
Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Brain Inj 22:471-9. 2008..The purpose of this study was to examine the role of the serotonin transporter gene polymorphisms on the risk of major depression following traumatic brain injury (TBI)...
Comorbidity in bipolar disorder among the elderly: results from an epidemiological community sampleBenjamin I Goldstein
Department of Psychiatry, Sunnybrook and Women s Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Am J Psychiatry 163:319-21. 2006..This study sought to determine psychiatric comorbidity among elderly individuals with bipolar disorder...
Mild cognitive impairment: an operational definition and its conversion rate to Alzheimer's diseaseDaphne M Geslani
Geriatric Research, Sunnybrook and Women s College Health Sciences Centre, Toronto, Canada
Dement Geriatr Cogn Disord 19:383-9. 2005..We aimed to develop an operational definition of MCI consistent with criteria proposed by the Mayo Alzheimer's Disease Center, and to examine its conversion rate to AD...
Physiotherapy coupled with dextroamphetamine for rehabilitation after hemiparetic stroke: a randomized, double-blind, placebo-controlled trialDavid J Gladstone
Regional Stroke Centre, Division of Neurology, Department of Medicine, and Neurosciences Research, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario, Canada
Stroke 37:179-85. 2006..Hemiparesis is the commonest disabling deficit caused by stroke. In animals, dextroamphetamine (AMPH) paired with training enhances motor recovery, but its clinical efficacy is uncertain...
The role of dopamine in symptoms and treatment of apathy in Alzheimer's diseaseRobert A Mitchell
Neuropsychopharmacology, Sunnybrook Health Sciences Centre, Toronto, Canada
CNS Neurosci Ther 17:411-27. 2011..The DAergic system is closely related to the brain reward system (BRS) and some studies have suggested that dysfunction in the DAergic system may account for symptoms of apathy in the AD population...
Exercise intervention and inflammatory markers in coronary artery disease: a meta-analysisWalter Swardfager
Sunnybrook Research Institute, Toronto, Ontario, Canada
Am Heart J 163:666-76.e1-3. 2012..We performed a meta-analysis of changes in inflammatory biomarkers over the course of exercise interventions in patients with CAD...
Determining the impact of dementia on antidepressant treatment response in older adultsCorinne E Fischer
Department of Psychiatry affiliated with the Keenan Research Centre of the Li Ka Shing Knowledge Research Institute, St Michael s Hospital, Toronto, Ontario, Canada
J Neuropsychiatry Clin Neurosci 23:358-61. 2011..Depressed elderly patients with dementia may improve on antidepressant treatment, although treatment response may be less robust than in depressed patients without dementia...
Indoleamine 2,3-dioxygenase activation and depressive symptoms in patients with coronary artery diseaseWalter Swardfager
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Psychoneuroendocrinology 34:1560-6. 2009..non-depressed patients (45.6+/-20.0 micromol/mmol vs. 38.5+/-15.7 micromol/mmol, F=3.778, p=.055) when controlling for age, sex and tACS. Activation of IDO is associated with the severity of depressive symptoms among patients with CAD...
Galantamine treatment of problematic behavior in Alzheimer disease: post-hoc analysis of pooled data from three large trialsNathan Herrmann
Dept of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada, M4N 3M5
Am J Geriatr Psychiatry 13:527-34. 2005..The authors explored the effect of galantamine on behavioral symptoms in Alzheimer disease (AD)...
The role of norepinephrine in the behavioral and psychological symptoms of dementiaNathan Herrmann
Division of Geriatric Psychiatry, Sunnybrook and Women s College Health Sciences Centre, Toronto, ON M4N 3M5, Canada
J Neuropsychiatry Clin Neurosci 16:261-76. 2004..With greater appreciation of the underlying neurobiology of behavioral and psychological symptoms of dementia (BPSD) more effective, rational, targeted pharmacotherapy will hopefully emerge...
Effect of antidepressant use on admissions to hospital among elderly bipolar patientsAyal Schaffer
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Int J Geriatr Psychiatry 21:275-80. 2006..The goal of this study was to examine the association between antidepressant use and hospitalization rate for mania or bipolar depression in a large, community-based sample of elderly bipolar patients...
Atypical antipsychotic drugs and risk of ischaemic stroke: population based retrospective cohort studySudeep S Gill
Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Toronto, ON, Canada
BMJ 330:445. 2005..To compare the incidence of admissions to hospital for stroke among older adults with dementia receiving atypical or typical antipsychotics...
Neurocognitive profiles in older adults with and without major depressionCorinne Fischer
St Michael s Hospital, Toronto, Ontario, Canada
Int J Geriatr Psychiatry 23:851-6. 2008..To delineate the differences between older persons with and without a diagnosis of major depression...
A SPECT study of apathy in Alzheimer's diseaseKrista L Lanctot
Department of Psychiatry, University of Toronto, Toronto, Ont, Canada
Dement Geriatr Cogn Disord 24:65-72. 2007..To assess the association between regional cerebral blood flow (rCBF) and apathy in Alzheimer's Disease (AD)...
Memantine in dementia: a review of the current evidenceNathan Herrmann
Division of Geriatric Psychiatry, Sunnybrook Health Sciences Centre, Faculty of Medicine, University of Toronto, Canada
Expert Opin Pharmacother 12:787-800. 2011..EXPERT OPINION: For the treatment of moderate to severe AD, memantine should be offered as a therapeutic option, either on its own, or in combination with a cholinesterase inhibitor...
Electroconvulsive therapy in older adults: 13-year trendsMark Jeffrey Rapoport
Sunnybrook Health Sciences Centre, Toronto, Ontario
Can J Psychiatry 51:616-9. 2006..To examine temporal trends in electroconvulsive therapy (ECT) use among all 12 million Ontario residents between January 1992 and December 2004 and to examine the differential trends in older adults, compared with younger ones...
The pharmacoeconomics of cognitive enhancers in moderate to severe Alzheimer's diseaseJaclyn Cappell
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
CNS Drugs 24:909-27. 2010....
Current and emerging drug treatment options for Alzheimer's disease: a systematic reviewNathan Herrmann
Neuropsychopharmacology Research Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Drugs 71:2031-65. 2011..This systematic review critically examines the efficacy and safety data for currently approved drugs and emerging treatments in AD, as well as discussing the present and future directions of innovation in this field...
Efficacy and safety of cholinesterase inhibitors in Alzheimer's disease: a meta-analysisKrista L Lanctot
Neuropharmacology Research Program, Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, Toronto, ON
CMAJ 169:557-64. 2003..Our objective was to quantitatively summarize data on the efficacy and safety of ChEIs in Alzheimer's disease in a format useful to clinicians...
GABAergic function in Alzheimer's disease: evidence for dysfunction and potential as a therapeutic target for the treatment of behavioural and psychological symptoms of dementiaKrista L Lanctot
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario
Can J Psychiatry 49:439-53. 2004..We review the clinical use of GABAergic agents in treating persons with AD symptoms. While newer generation GABAergic medications are now available, they have yet to be evaluated among patients with AD...
Medial temporal hypoperfusion and aggression in Alzheimer diseaseKrista L Lanctot
Neuropharmacology Research, Department of Psychiatry, Cognitive Neurology Unit, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario, Canada
Arch Neurol 61:1731-7. 2004..It is not understood why some patients with Alzheimer disease (AD) display aggression and others do not...
Contribution of informant and patient ratings to the accuracy of the mini-mental state examination in predicting probable Alzheimer's diseaseMary C Tierney
Geriatric Research Unit, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario, Canada
J Am Geriatr Soc 51:813-8. 2003..To determine whether the accuracy of the Mini-Mental State Examination (MMSE) in predicting future Alzheimer's disease (AD) could be improved by the addition of patient and informant ratings of cognitive difficulties...
The cost-benefit of cholinesterase inhibitors in mild to moderate dementia: a willingness-to-pay approachGrace Wu
Department of Psychiatry, HOPE Research Centre and Division of Clinical Pharmacology, Room FG 05, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
CNS Drugs 17:1045-57. 2003..This study aimed to measure the economic value of cholinesterase inhibitors when used to treat Alzheimer's disease using the willingness-to-pay (WTP) approach and the framework of cost-benefit analysis...
IPA survey of brief cognitive screening instrumentsKenneth I Shulman
Department of Psychiatry, Sunnybrook and Women s, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Int Psychogeriatr 18:281-94. 2006....
Probing brain reward system function in major depressive disorder: altered response to dextroamphetamineLescia K Tremblay
Psychopharmacology Research Program, Sunnybrook and Women's College Health Sciences Centre-Sunnybook Campus, University of Toronto, 2075 Bayview Ave, Room F-327, Toronto, Ontario, Canada M4N 3M5
Arch Gen Psychiatry 59:409-16. 2002....
Cognitive pharmacotherapy of Alzheimer's disease and other dementiasNathan Herrmann
Department of Psychiatry, Division of Geriatric Psychiatry, Faculty of Medicine, University of Toronto Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5
Can J Psychiatry 47:715-22. 2002....
Gender, aggression and serotonergic function are associated with response to sertraline for behavioral disturbances in Alzheimer's diseaseKrista L Lanctot
Psychopharmacology Research Program and Geriatric Psychiatry, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, 207s Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
Int J Geriatr Psychiatry 17:531-41. 2002..Indications for serotonergic medications in the treatment of behavioral disorders associated with Alzheimer's disease (AD) remain to be established...
Brain reward system activity in major depression and comorbid nicotine dependenceLaura Cardenas
Centre for Addiction and Mental Health, Sunnybrook and Women's College Health Sciences Centre-Sunnybrook Campus, 33 Russell Street, Toronto, Ontario, Canada M5S 2S1
J Pharmacol Exp Ther 302:1265-71. 2002..Severity of depression was significantly correlated with increased rewarding effects of d-amph. Thus, although the BRS may be dysfunctional in MDD subjects, chronic nicotine use does not modify response to d-amph...
A randomized, placebo-controlled trial of the discontinuation of long-term antipsychotics in dementiaRobert van Reekum
Baycrest Centre for Geriatric Care, Toronto, Canada
Int Psychogeriatr 14:197-210. 2002..The primary limitation of the study was the small sample size. In conclusion, a trial of discontinuation of antipsychotics should be considered in this population...
Central serotonergic activity is related to the aggressive behaviors of Alzheimer's diseaseKrista L Lanctot
Psychopharmacology Research Program and Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Neuropsychopharmacology 27:646-54. 2002..These results suggest a complex link between aggression in AD and central serotonergic dysfunction having interactions with gender and cognitive impairment...
The contribution of neuropsychiatric symptoms to the cost of dementia careNathan Herrmann
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Int J Geriatr Psychiatry 21:972-6. 2006..CONCLUSION: BPSD contribute significantly to the overall costs of dementia care. Interventions targeted at BPSD may help to reduce the staggering societal costs of this illness...
Acute pharmacological effects of temazepam, diphenhydramine, and valerian in healthy elderly subjectsJennifer R Glass
Division of Clinical Neuroscience, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario, Canada M5S 2S1
J Clin Psychopharmacol 23:260-8. 2003..001) but similar to that with 15 mg temazepam (NS). No psychomotor impairment was detected with 50 mg diphenhydramine. Valerian was not different from placebo on any measure of psychomotor performance or sedation...
How much are atypical antipsychotic agents being used, and do they reach the populations who need them? A Canadian experienceCarolyn S Dewa
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Clin Ther 24:1466-76. 2002..The introduction of new antipsychotic agents in the past decade has helped alter the treatments available to 2 vulnerable populations-those with schizophrenia and related psychotic conditions and elderly individuals with dementia...
Pharmacokinetic and pharmacodynamic evaluation of the inhibition of alprazolam by citalopram and fluoxetineJudith Hall
Psychopharmacology Research Program, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
J Clin Psychopharmacol 23:349-57. 2003..Neither selective serotonin reuptake inhibitor significantly affected the pharmacodynamic profile of alprazolam. This experiment suggests differential effects by citalopram and fluoxetine on alprazolam kinetics...
Treatment of moderate to severe Alzheimer's disease: rationale and trial designNathan Herrmann
Department of Psychiatry, Division of Geriatric Psychiatry, Faculty of Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Toronto, ON, Canada
Can J Neurol Sci 34:S103-8. 2007..While there are no published guidelines for the treatment of moderate to severe AD, these studies do provide guidance for recommendations for study design and outcome measures. Such studies are urgently needed...
Relationship between cardiopulmonary fitness and depressive symptoms in cardiac rehabilitation patients with coronary artery diseaseWalter Swardfager
Department of Pharmacology, University of Toronto, Toronto, Canada
J Rehabil Med 40:213-8. 2008..To identify independent predictors of depressive symptoms in a cohort of patients with coronary artery disease entering cardiac rehabilitation...
A population-based assessment of the potential interaction between serotonin-specific reuptake inhibitors and digoxinDavid N Juurlink
Clinical Epidemiology and Healthcare Research Program, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Br J Clin Pharmacol 59:102-7. 2005..We sought to determine if some SSRIs cause digoxin toxicity in the clinical setting...
Atypical antipsychotics for neuropsychiatric symptoms of dementia: malignant or maligned?Nathan Herrmann
Department of Psychiatry, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Drug Saf 29:833-43. 2006....
Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefitsJennifer Glass
University of Toronto, Department of Pharmaceutical Sciences, Toronto, ON, Canada M5S 2S2
BMJ 331:1169. 2005..In people over 60, the benefits of these drugs may not justify the increased risk, particularly if the patient has additional risk factors for cognitive or psychomotor adverse events...
Effect of rivastigmine on delay to diagnosis of Alzheimer's disease from mild cognitive impairment: the InDDEx studyHoward H Feldman
Division of Neurology, University of British Columbia Hospital, Vancouver, Canada
Lancet Neurol 6:501-12. 2007..To assess the effect of rivastigmine in patients with mild cognitive impairment (MCI) on the time to clinical diagnosis of Alzheimer's disease (AD) and the rate of cognitive decline...
Efficacy and safety of antidepressants for treatment of depression in Alzheimer's disease: a metaanalysisSarah Thompson
Department of Psychiatry, Atlantic Health Sciences Corporation, Saint John, New Brunswick
Can J Psychiatry 52:248-55. 2007..Our objective was to quantitatively summarize the data on the efficacy and safety of antidepressant treatment for depression complicating AD...
Is late-life depression a predictor of Alzheimer's disease? Results from a historical cohort studyRobert van Reekum
Int J Geriatr Psychiatry 20:80-2. 2005
Correlates of response to acetylcholinesterase inhibitor therapy in Alzheimer's diseaseKrista L Lanctot
Neuropsychopharmacology Research Program and HOPE Research Centre, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ont
J Psychiatry Neurosci 28:13-26. 2003..Studying correlates of response may help to elucidate the mechanism of action of acetylcholinesterase inhibitors...
Geriatric psychiatry: a subspecialty whose time has comeNathan Herrmann
Can J Psychiatry 49:415-6. 2004
Donepezil therapy for neuropsychiatric symptoms in AD: methods make the messageNathan Herrmann
Neurology 63:200-1. 2004
Canadian Outcomes Study in Dementia: study methods and patient characteristicsRobert Sambrook
Syreon Corporation, Vancouver, British Columbia
Can J Psychiatry 49:417-27. 2004..To describe the methods and patient characteristics of the Canadian Outcomes Study in Dementia (COSID)...
