Atypical antipsychotic drugs are commonly used to treat psychiatric illnesses but they are significantly associated with side effects including acute dystonia, akathisia, parkinsonism (rigidity and tremor), tardive dyskinesia, bradycardia, hypotension, impotence, sleepiness, seizures, severe dreams or nightmares, and hyperprolactinaemia. Vitamin D and E, have been the focus of much research in the past fifteen years, which has revealed multiple roles in the development and function of the body. According to mounting data from the domains of epidemiology and neuroscience, vitamin D and E deficiency have been related to a number of neuropsychiatric issues as well as neurodegenerative diseases. Additionally, antioxidants like vitamin E help to prevent inflammation and highly reactive oxygen molecules from damaging normal cells. The use of vitamin E and D supplements has been suggested to improve the overall outcomes of psychiatric illnesses and neurological diseases. However, the synergistic effect of vitamins E and D in reducing the risk of the adverse effects associated with atypical antipsychotics and improvement in psychiatric illness is not well understood. Therefore, this study was designed to investigate the potential synergistic effect of vitamin E and D supplements for reducing the adverse effects associated with atypical antipsychotics.
Inclusion Criteria: 1\. Patients using antipsychotic medications such as quetiapine, olanzapine, or risperidone 3. Participants who are between the ages of 20 - 70 years 3. Both gender patients male and female 4. Patients with no other chronic morbidity
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
140
Antipsychotic Agent
Antipsychotic Agent
Antipsychotic Agent
vitamin
vitamin and Antipsychotic agent
Vitamin and Antipsychotic agents
Jinnah Post Graduate Medical Centre
Karachi, Sindh, Pakistan
Glutathione Peroxidase
Serum levels of Glutathione Peroxidase would be determined in each group using a colorimetric approach and commercially available kits because both enzymes are commonly involved in the response to oxidative stress in tissue.(GPX ELISA kit )
Time frame: 6months
Lipid Profile total cholesterol
The lipid profile includes the measurement of total cholesterol level in the blood
Time frame: 6months
anti inflammatory markers gamma interferon
Expression levels of interferon gamma are determined by polymerase chain reaction. Primers specific to TNF- and IFN- were designed and synthesized for use in polymerase chain reaction (PCR) copy synthesis.
Time frame: 6months
Superoxide Dismutase Activity
Superoxide Dismutase were determined in each group using a colorimetric approach and commercially available kits
Time frame: 6 months
lipid profile TG
The lipid profile includes the measurement of triglycerides level in the blood
Time frame: 6 months
lipid profile HDL
The lipid profile includes the measurement of high density lipoproteins in the blood
Time frame: 6 months
lipid profile VLDL
The lipid profile includes the measurement of very low density lipoprotein levels level in the blood
Time frame: 6 months
anti inflammatory markers TNF alpha
Tumor necrosis factor alpha expression is determined by polymerase chain reaction.
Time frame: 6 months
Assessment of Psychiatric Improvement, Brief Psychiatric Rating Scale (BPRS)
The Brief Mental Rating Scale (BPRS) is a frequently used measure in psychiatry for assessing the severity of various mental symptoms. It is intended to assess the psychological and behavioral features of those suffering from mental health issues. The BPRS is made up of 18 components, each reflecting a different symptom domain. maximum score 168 and minimum score 24
Time frame: 6month
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