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Genomes and GenesSpecies | N HerrmannSummaryAffiliation: University of Toronto Country: Canada Publications
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Publications
Detection and treatment of post stroke depression: results from the registry of the Canadian stroke networkNathan Herrmann
Department of Psychiatry, Sunnybrook Health Sciences Centre, Ontario, Canada University of Toronto, Canada
Int J Geriatr Psychiatry 26:1195-200. 2011..Depression occurs in approximately one-third of patients following stroke based on studies that screen entire stroke populations. Less is known about the detection and treatment of post stroke depression (PSD) in routine clinical practice...
From transmitters to treatment: the pharmacotherapy of behavioural disturbances in dementiaN Herrmann
University of Toronto, Ontario
Can J Psychiatry 42:51S-64S. 1997....
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)...
Diagnosis and treatment of dementia: 6. Management of severe Alzheimer diseaseNathan Herrmann
Department of Psychiatry, Sunnybrook Health Sciences Centre and University of Toronto, Ont, Canada
CMAJ 179:1279-87. 2008..We outline an evidence-based approach for these choices based on recommendations from the Third Canadian Consensus Conference on the Diagnosis and Treatment of Dementia...
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...
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....
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...
The Sunnybrook Stroke Study: a prospective study of depressive symptoms and functional outcomeN Herrmann
Department of Psychiatry, Sunnybrook Health Science Centre and University of Toronto, North York, Ontario, Canada
Stroke 29:618-24. 1998....
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...
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...
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...
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...
Risperidone for the treatment of behavioral disturbances in dementia: a case seriesN Herrmann
Sunnybrook Health Science Centre, University of Toronto, Royal Ottawa Hospital, University of Ottawa, Canada
J Neuropsychiatry Clin Neurosci 10:220-3. 1998..Risperidone, in low doses, was well tolerated; 50% of patients experienced significant improvement, although 50% experienced some extrapyramidal symptoms...
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...
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...
The effectiveness of antidepressants in elderly depressed outpatients: a prospective case series studyN Mittmann
HOPE Research Centre, Division of Clinical Pharmacology, Sunnybrook Health Science Centre, University of Toronto, Ontario, Canada
J Clin Psychiatry 60:690-7. 1999..This study examined the effectiveness of antidepressants in a group of elderly depressed outpatients by assessing depression prevalence and recording adverse events over time...
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...
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...
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...
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)...
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...
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....
The use of non-prescription sleep products in the elderlyB A Sproule
Psychopharmacology Research Program, Sunnybrook and Women s Health Sciences Centre, Toronto, Canada
Int J Geriatr Psychiatry 14:851-7. 1999..The objectives of this project were to assess the use, perceived effectiveness and toxicity of non-prescription sleep products in an ambulatory elderly population...
Probing peripheral and central cholinergic system responsesC A Naranjo
Psychopharmacology Research Program, Sunnybrook and Women s College Health Sciences Centre, Toronto, ON
J Psychiatry Neurosci 25:325-36. 2000..Scopolamine was used as a positive control to detect age-dependent changes in central cholinergic functioning in the elderly...
Donepezil for behavioural disorders associated with Lewy bodies: a case seriesK L Lanctot
Division of Clinical Pharmacology, Sunnybrook Women s College Health Sciences Centre, Kunin Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Dept of Psychiatry, Univ of Toronto, Canada
Int J Geriatr Psychiatry 15:338-45. 2000..Our experience with donepezil in this group of patients shows promise. Given the limited experience with this agent in treating behavioural disorders associated with DLB, further studies are warranted...
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)...
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...
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...
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...
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...
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...
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...
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....
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...
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...
Brain derived neurotrophic factor, cardiopulmonary fitness and cognition in patients with coronary artery diseaseW Swardfager
Neuropsychopharmacology Research Group, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Brain Behav Immun 25:1264-71. 2011..To assess serum brain derived neurotrophic factor (BDNF) concentrations as a correlate of cardiopulmonary fitness and as a predictor of cognitive performance in subjects with coronary artery disease (CAD)...
Bipolar disorder in old ageK I Shulman
Department of Psychiatry, University of Toronto, Ontario
Can Fam Physician 45:1229-37. 1999..To review the classification, clinical characteristics, and epidemiology of bipolar disorders in old age with a special focus on neurologic comorbidity, high mortality, and management...
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)...
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...
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...
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...
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...
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...
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...
A SPECT study of sleep disturbance and Alzheimer's diseaseZ Ismail
Centre for Addiction and Mental Health, Toronto, Ont, Canada
Dement Geriatr Cogn Disord 27:254-9. 2009..This study aimed to investigate the possible association of regional cerebral perfusion and sleep loss in Alzheimer's disease (AD)...
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...
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...
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...
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...
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...
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...
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...
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....
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...
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...
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)...
Sharing the responsibility for assessing the risk of the driver with dementiaMark J Rapoport
Division of Clinical Integrative Biology, Sunnybrook Health Sciences Centre, Toronto
CMAJ 177:599-601. 2007
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...
Effectiveness of gabapentin for the treatment of behavioral disorders in dementiaN Herrmann
Division of Geriatric Psychiatry, University of Toronto, Ontario, Canada
J Clin Psychopharmacol 20:90-3. 2000..Gabapentin may have a role in treating a subgroup of dementia patients with severe behavioral disorders who have not responded to neuroleptics...
Lithium and its neuroprotective and neurotrophic effects: potential treatment for post-ischemic stroke sequelaeA B Gold
Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue Rm FG 05, Toronto, ON M4N 3M5, Canada
Curr Drug Targets 12:243-55. 2011....
Use of prescription and nonprescription hypnotics in a Canadian elderly populationU E Busto
Centre for Addiction and Mental Health, Toronto, Canada
Can J Clin Pharmacol 8:213-21. 2001..Hypnotics are commonly used by older adults, yet little is known about the patterns of their use and effectiveness in this population...
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...
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...
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)...
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...
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...
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)...
Old and homeless: a review and survey of older adults who use shelters in an urban settingVicky Stergiopoulos
St Michael s Hospital, Department of Psychiatry, University of Toronto, Toronto, Ontario
Can J Psychiatry 48:374-80. 2003..This paper reviews the available literature and presents findings of a Toronto survey in an effort to describe the demographics of homeless seniors, their level of impairment, and their mental and physical health needs...
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)...
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...
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...
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...
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...
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...
Perceptions of natural health products among patients attending a memory clinicPapita Sharma
Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
Am J Alzheimers Dis Other Demen 21:156-63. 2006..826, P = .005). Careful questioning during visits with health care providers and better counseling may be necessary to reduce the potential for adverse events and NHP-drug interactions...
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....
Use of SSRIs in the elderly: obvious benefits but unappreciated risksN Herrmann
Sunnybrook and Women s College Health Sciences Centre, Toronto, Canada
Can J Clin Pharmacol 7:91-5. 2000..SSRIs and TCAs have relative risks and benefits, and clinicians must maintain expertise in prescribing for elderly patients given both the frequency and severity of depressive disorders in late life...
An open-label study of citalopram for major depression following traumatic brain injuryM J Rapoport
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
J Psychopharmacol 22:860-4. 2008....
Recommendations for the management of behavioral and psychological symptoms of dementiaN Herrmann
Division of Geriatric Psychiatry, University of Toronto, and Sunnybrook and Women's College Health Sciences Centre, North York, ON, Canada
Can J Neurol Sci 28:S96-107. 2001..CONCLUSION: The management of BPSD can significantly improve the quality of life for the patient and caregiver. Their assessment and management are essential components of the treatment of dementia...
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
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)...
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...
Medical illness and the risk of suicide in the elderlyDavid N Juurlink
Clinical Epidemiology and Healthcare Research Program, University of Toronto, and the Institute for Clinical Evaluative Sciences, Toronto, Ontario
Arch Intern Med 164:1179-84. 2004..We explored the relationship between treatment for several illnesses and the risk of suicide in elderly patients using a population-based approach...
Prevalence and correlates of agoraphobia in older adultsLaura McCabe
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto Ontario, Canada
Am J Geriatr Psychiatry 14:515-22. 2006..However, little is known about the nature of this disorder in the elderly population. The purpose of this study was to identify risk factors, illness characteristics, and comorbidity of agoraphobia in the elderly...
Donepezil therapy for neuropsychiatric symptoms in AD: methods make the messageNathan Herrmann
Neurology 63:200-1. 2004
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...
Use of memantine to treat Alzheimer's diseaseSerge Gauthier
CMAJ 175:501-2. 2006
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...
Geriatric psychiatry: a subspecialty whose time has comeNathan Herrmann
Can J Psychiatry 49:415-6. 2004
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...
