Page last updated: 2024-10-25

clonidine and Flaccid Quadriplegia

clonidine has been researched along with Flaccid Quadriplegia in 10 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Research Excerpts

ExcerptRelevanceReference
"Tizanidine is a centrally acting alpha-2 adrenoreceptor agonist widely used in the treatment of spasticity in patients with cerebral or spinal injury, and it is causing drawsiness in some of them."2.71[Effects of tizanidine for refractory sleep disturbance in disabled children with spastic quadriplegia]. ( Cho, K; Fujieda, K; Fukuda, I; Miyamoto, A; Oka, R; Tanaka, H, 2004)
"Severe muscle hypertonia in patients with the mixed type of tetraplegia may be associated with significant deterioration in the quality of life of the patients."1.42[Effectiveness of continuous infusion of tizanidine (Ternelin) via a feeding tube for patients with the mixed type of tetraplegia]. ( Fujii, T; Hayasi, A; Hiejima, I; Kumada, T; Miyajima, T; Nozaki, F, 2015)
"Significant improvement in spastic hypertonia was observed in all three cases."1.29Effect of transdermal clonidine on spinal spasticity. A case series. ( Sipski, ML; Yablon, SA, 1993)
"When clonidine therapy was initiated, the patient responded rapidly with both subjective and objective improvements in her spasticity."1.28Clonidine in the treatment of brainstem spasticity. Case report. ( Sandford, PR; Sawasky, KB; Spengler, SE, 1992)
"Five patients had no change in clinical spasticity (average dose of 0."1.27Early clinical experience with clonidine in spinal spasticity. ( Maynard, FM, 1986)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19905 (50.00)18.7374
1990's3 (30.00)18.2507
2000's1 (10.00)29.6817
2010's1 (10.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hiejima, I1
Kumada, T1
Nozaki, F1
Hayasi, A1
Miyajima, T1
Fujii, T1
Tanaka, H1
Fukuda, I1
Miyamoto, A1
Oka, R1
Cho, K1
Fujieda, K1
Yablon, SA1
Sipski, ML1
Reid, JL2
Wing, LM2
Mathias, CJ5
Frankel, HL5
Neill, E1
Christensen, NJ1
Sandford, PR1
Spengler, SE1
Sawasky, KB1
Kooner, JS3
Birch, R2
Peart, WS3
Edge, W1
Stone, F1
Maynard, FM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hemodynamic Effect of Intrathecal Clonidine in Hypertensive Subjects: A Pilot Study to Assess Its Effectiveness in Hypertensive Subjects With Poor Blood Pressure Control (Phase II)[NCT01297335]Phase 210 participants (Actual)Interventional2011-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Blood Pressure After Intrathecal Injection of Clonidine.

"Subjects baseline blood pressure (systolic blood pressure (SBP), and diastolic blood pressure (DBP)), and blood pressures after clonidine injection was compared against baseline to assess efficacy of clonidine in refractory hypertensive subjects. Subject's blood pressure was monitored continuously after intrathecal injection of clonidine until subjects blood pressure nadir and return to pre clonidine injection level. The mean value reported below are the average changes in blood pressure from baseline (pre clonidine injection) in both SBP and DBP during post clonidine injection blood pressure monitoring for 4 hours.~Blood pressure measurements were collected every 10 minutes for first hour after injection, and every 15 minutes after the first hour, up to 4 hours were averaged to report the change from baseline." (NCT01297335)
Timeframe: Baseline, Every 10 Minutes for first hour after clonidine injection, and every 15 minutes after first hour, until 4 hours after clonidine injection

Interventionmm Hg (Mean)
Change in mean SBP after clonidine injectionChange in DBP after clonidine injection
Intrathecal Clonidine7937

Changes in Visual Analogue Scale (VAS) Ratings of Sedation and Sensation of Dry Mouth Reported by the Subjects, Pre and 1 Hour Post Injection

Subjects were asked to rate severity of two of the most common side effects of clonidine, sedation and sensation of dry mouth, at pre and post (1 hour after) intrathecal administration of clonidine. The mean changes between pre and post injection VAS ratings of sedation and sensation of dry mouth are reported below. The VAS scale ranges from 1 to 10 cm, with higher values indicating higher level of sedation and higher level of dry mouth. (NCT01297335)
Timeframe: Before clonidine injection (Baseline), and at 1 hour after clonidine injection.

Interventioncm (Mean)
Change in level of sedationChange in sensation of dry mouth
Intrathecal Clonidine3.363.47

Likert Scale Pain Rating

Likert scale is 11 point digital pain rating system that asks subjects to rate their pain from 0 to 10. Rating of 0 means no pain at all, and in increasing order, 10 would mean worst pain imaginable/ unbearable pain. (NCT01297335)
Timeframe: Pre-dose and 1 hour post injection.

Interventionunits on a scale (Mean)
Pre-injection average Likert scorePost-injection average Likert score
Intrathecal Clonidine6.53.6

Trials

2 trials available for clonidine and Flaccid Quadriplegia

ArticleYear
[Effects of tizanidine for refractory sleep disturbance in disabled children with spastic quadriplegia].
    No to hattatsu = Brain and development, 2004, Volume: 36, Issue:6

    Topics: Adolescent; Adrenergic alpha-Agonists; Adult; Child; Child, Preschool; Clonidine; Disabled Children;

2004
The central hypotensive effect of clonidine. Studies in tetraplegic subjects.
    Clinical pharmacology and therapeutics, 1977, Volume: 21, Issue:4

    Topics: Adult; Blood Pressure; Brain; Clinical Trials as Topic; Clonidine; Half-Life; Heart Rate; Humans; Hy

1977

Other Studies

8 other studies available for clonidine and Flaccid Quadriplegia

ArticleYear
[Effectiveness of continuous infusion of tizanidine (Ternelin) via a feeding tube for patients with the mixed type of tetraplegia].
    No to hattatsu = Brain and development, 2015, Volume: 47, Issue:1

    Topics: Child, Preschool; Clonidine; Enteral Nutrition; Female; Humans; Infant; Male; Muscle Hypertonia; Mus

2015
Effect of transdermal clonidine on spinal spasticity. A case series.
    American journal of physical medicine & rehabilitation, 1993, Volume: 72, Issue:3

    Topics: Administration, Cutaneous; Adolescent; Adult; Clonidine; Female; Humans; Male; Muscle Hypertonia; Mu

1993
Antihypertensive effects of clonidine in tetraplegic subjects devoid of central sympathetic control.
    Clinical science (London, England : 1979), 1979, Volume: 57 Suppl 5

    Topics: Adult; Antihypertensive Agents; Blood Pressure; Clonidine; Heart Rate; Humans; Hypertension; Male; M

1979
Clonidine in the treatment of brainstem spasticity. Case report.
    American journal of physical medicine & rehabilitation, 1992, Volume: 71, Issue:5

    Topics: Adult; Baclofen; Cerebral Infarction; Clonidine; Female; Humans; Medulla Oblongata; Muscle Spasticit

1992
Hemodynamic and neurohormonal effects of clonidine in patients with preganglionic and postganglionic sympathetic lesions. Evidence for a central sympatholytic action.
    Circulation, 1991, Volume: 84, Issue:1

    Topics: Adolescent; Adult; Aorta; Blood Flow Velocity; Blood Pressure; Body Temperature; Brachial Plexus; Cl

1991
Haemodynamic actions of clonidine in tetraplegia--effects at rest and during urinary bladder stimulation.
    Paraplegia, 1988, Volume: 26, Issue:3

    Topics: Adolescent; Adult; Clonidine; Hemodynamics; Humans; Immobilization; Infusions, Intravenous; Middle A

1988
Vascular effects of clonidine in patients with tetraplegia and unilateral brachial plexus injury.
    Clinical and experimental hypertension. Part A, Theory and practice, 1988, Volume: 10 Suppl 1

    Topics: Adult; Brachial Plexus; Clonidine; Female; Hemodynamics; Humans; Male; Middle Aged; Quadriplegia

1988
Early clinical experience with clonidine in spinal spasticity.
    Paraplegia, 1986, Volume: 24, Issue:3

    Topics: Adult; Aged; Clonidine; Female; Humans; Male; Muscle Spasticity; Quadriplegia

1986