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. Author manuscript; available in PMC: 2015 Jul 8.
Published in final edited form as: J Neurotrauma. 2012 Feb 29;29(5):865–879. doi: 10.1089/neu.2011.2052

Table 1C.

Monoaminergic drugs – Clonidine + Cyproheptadine

Authors
Year
Country
Score
Research Design
Sample Size
Methods Outcomes Side Effects
Fung et al. 1990
Canada
Downs & Black = 11
Post-test
N = 2

Combined with locomotor training
Population: 2 males; age 26 and 23 yrs; T4-7 and C7-8 lesion level; 11 and 8 months post-injury.
Treatment: Cyproheptadine 24 mg/day and Clonidine 0.175 mg/0.20 mg/day. Subjects were also taking baclofen. After medications were stabilized for 2 weeks, subjects participated in locomotor training.
Outcome measures: Surface EMG and kinematic gait analysis during treadmill walking. No statistical analysis.
  1. Subjects that were originally wheelchair-users could walk overground with assistive devices while on medication.

  2. EMG activity became more phasic with less clonus.

  3. Subjects showed further improvement in gait patterns and over ground walking after the addition of locomotor training.

  1. Cyproheptadine was administered first and the side effects associated with this drug included increased appetite and drowsiness.

  2. When Clonidine was added, subjects experienced dryness of eyes and mouth, lethargy and dizziness.

Norman et al. 1998
Canada
Downs & Black = 13
Pre-post
N=12
See Table 1A