Page last updated: 2024-10-25

cyproheptadine and Muscle Spasticity

cyproheptadine has been researched along with Muscle Spasticity in 10 studies

Cyproheptadine: A serotonin antagonist and a histamine H1 blocker used as antipruritic, appetite stimulant, antiallergic, and for the post-gastrectomy dumping syndrome, etc.
cyproheptadine : The product resulting from the formal oxidative coupling of position 5 of 5H-dibenzo[a,d]cycloheptene with position 4 of 1-methylpiperidine resulting in the formation of a double bond between the two fragments. It is a sedating antihistamine with antimuscarinic and calcium-channel blocking actions. It is used (particularly as the hydrochloride sesquihydrate) for the relief of allergic conditions including rhinitis, conjunctivitis due to inhalant allergens and foods, urticaria and angioedema, and in pruritic skin disorders. Unlike other antihistamines, it is also a seratonin receptor antagonist, making it useful in conditions such as vascular headache and anorexia.

Muscle Spasticity: A form of muscle hypertonia associated with upper MOTOR NEURON DISEASE. Resistance to passive stretch of a spastic muscle results in minimal initial resistance (a free interval) followed by an incremental increase in muscle tone. Tone increases in proportion to the velocity of stretch. Spasticity is usually accompanied by HYPERREFLEXIA and variable degrees of MUSCLE WEAKNESS. (From Adams et al., Principles of Neurology, 6th ed, p54)

Research Excerpts

ExcerptRelevanceReference
"The goal of this study was to examine how the administration and dosing of the anti-serotonergic medication cyproheptadine hydrochloride (HCl) affects involuntary muscle hypertonicity of the spastic and paretic hands of stroke survivors."9.51Use of cyproheptadine hydrochloride (HCl) to reduce neuromuscular hypertonicity in stroke survivors: A Randomized Trial: Reducing Hypertonicity in Stroke. ( Bansal, N; Barry, A; Kamper, D; Roth, E; Seo, N; Stoykov, ME; Triandafilou, K; Vidakovic, L, 2022)
"The goal of this study was to examine how the administration and dosing of the anti-serotonergic medication cyproheptadine hydrochloride (HCl) affects involuntary muscle hypertonicity of the spastic and paretic hands of stroke survivors."5.51Use of cyproheptadine hydrochloride (HCl) to reduce neuromuscular hypertonicity in stroke survivors: A Randomized Trial: Reducing Hypertonicity in Stroke. ( Bansal, N; Barry, A; Kamper, D; Roth, E; Seo, N; Stoykov, ME; Triandafilou, K; Vidakovic, L, 2022)
"The antiserotonergic agent cyproheptadine was evaluated in six patients as a medication for the management of spasticity due either to spinal cord trauma or to multiple sclerosis."5.05Action of cyproheptadine in spastic paraparetic patients. ( Barbeau, H; Bédard, PJ; Richards, CL, 1982)
"In twenty-five SCI subjects, antispasticity effects of three putative antispasticity agents [clonidine (an alpha-2 noradrenergic agonist), cyproheptadine (a 5-HT2 antagonist) and baclofen (a GABA-B agonist)] were tested in terms of changes in leg tone as graded by the Ashworth scale (AS), in terms of the vibratory inhibition of the H-reflex (VII) and in terms of the ability of the knee to swing passively in the pendulum test as quantified by video motion analysis."2.67A comparison of clonidine, cyproheptadine and baclofen in spastic spinal cord injured patients. ( Nance, PW, 1994)
"Establish the functional impact of the spasticity."2.41Alpha adrenergic and serotonergic agents in the treatment of spastic hypertonia. ( Nance, PW, 2001)
"To evaluate spasticity in a dynamic, voluntary movement such as locomotion, a task-specific approach is essential."1.28A dynamic EMG profile index to quantify muscular activation disorder in spastic paretic gait. ( Barbeau, H; Fung, J, 1989)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19903 (30.00)18.7374
1990's2 (20.00)18.2507
2000's3 (30.00)29.6817
2010's1 (10.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Kamper, D1
Barry, A1
Bansal, N1
Stoykov, ME1
Triandafilou, K1
Vidakovic, L1
Seo, N1
Roth, E1
Ryu, Y1
Ogata, T1
Nagao, M1
Sawada, Y1
Nishimura, R1
Fujita, N1
Meythaler, JM1
Roper, JF1
Brunner, RC1
Zafonte, R1
Lombard, L1
Elovic, E1
Barbeau, H4
Richards, CL1
Bédard, PJ1
Nance, PW2
Fung, J2
Stewart, JE1
Wainberg, M1
Gauthier, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Altering Activation Patterns in the Distal Upper Extremity After Stroke[NCT02418949]96 participants (Actual)Interventional2015-11-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Grip Relaxation Time (Following a Maximum Voluntary Contraction (MVC)

Following a maximum voluntary contraction (MVC) -- Time (s) required for muscle electromyographic (EMG) signals to reduce to within 3 SD of pre-MVC EMG activity. (NCT02418949)
Timeframe: baseline and 9 weeks (immediately post intervention)

InterventionSeconds (Mean)
Cyproheptadine + AMP-1.66
Placebo for Cyproheptadine + Stretching-0.96
Cyproheptadine + Stretching-1.06
Placebo for Cyproheptadine + AMP-2.65

Change in Mean Completion Time for Graded Wolf Motor Function Test (GWMFT)

GWMFT is a clinical outcome measure comprised of 15 timed tasks focusing on upper extremity function. Maximum allowable time per task is 120 seconds. (NCT02418949)
Timeframe: baseline and 9 weeks (immediately post intervention)

InterventionSeconds (Mean)
Cyproheptadine + AMP-3.66
Placebo for Cyproheptadine + Stretching-0.51
Cyproheptadine + Stretching-4.00
Placebo for Cyproheptadine + AMP-3.89

Reviews

2 reviews available for cyproheptadine and Muscle Spasticity

ArticleYear
Antispasticity medications: uses and limitations of enteral therapy.
    American journal of physical medicine & rehabilitation, 2004, Volume: 83, Issue:10 Suppl

    Topics: 4-Aminopyridine; Acetates; Adrenergic alpha-Agonists; Amines; Baclofen; Benzodiazepines; Cyclohexane

2004
Alpha adrenergic and serotonergic agents in the treatment of spastic hypertonia.
    Physical medicine and rehabilitation clinics of North America, 2001, Volume: 12, Issue:4

    Topics: Adrenergic alpha-Agonists; Animals; Anticonvulsants; Clonidine; Cyproheptadine; Humans; Muscle Spast

2001

Trials

4 trials available for cyproheptadine and Muscle Spasticity

ArticleYear
Use of cyproheptadine hydrochloride (HCl) to reduce neuromuscular hypertonicity in stroke survivors: A Randomized Trial: Reducing Hypertonicity in Stroke.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2022, Volume: 31, Issue:10

    Topics: Cyproheptadine; Humans; Muscle Spasticity; Neuromuscular Agents; Stroke; Stroke Rehabilitation; Surv

2022
Action of cyproheptadine in spastic paraparetic patients.
    Journal of neurology, neurosurgery, and psychiatry, 1982, Volume: 45, Issue:10

    Topics: Adult; Cyproheptadine; Electromyography; Female; Humans; Male; Middle Aged; Multiple Sclerosis; Musc

1982
A comparison of clonidine, cyproheptadine and baclofen in spastic spinal cord injured patients.
    The Journal of the American Paraplegia Society, 1994, Volume: 17, Issue:3

    Topics: Baclofen; Clonidine; Cyproheptadine; Dose-Response Relationship, Drug; Drug Administration Schedule;

1994
The combined effects of clonidine and cyproheptadine with interactive training on the modulation of locomotion in spinal cord injured subjects.
    Journal of the neurological sciences, 1990, Volume: 100, Issue:1-2

    Topics: Adult; Biomechanical Phenomena; Clonidine; Combined Modality Therapy; Cyproheptadine; Double-Blind M

1990

Other Studies

4 other studies available for cyproheptadine and Muscle Spasticity

ArticleYear
Effects of Treadmill Training Combined with Serotonergic Interventions on Spasticity after Contusive Spinal Cord Injury.
    Journal of neurotrauma, 2018, 06-15, Volume: 35, Issue:12

    Topics: Animals; Cyproheptadine; Female; Fluoxetine; Muscle Spasticity; Physical Conditioning, Animal; Rats;

2018
Cyproheptadine for intrathecal baclofen withdrawal.
    Archives of physical medicine and rehabilitation, 2003, Volume: 84, Issue:5

    Topics: Acute Disease; Adult; Baclofen; Cerebral Palsy; Cyproheptadine; Diagnosis, Differential; Female; Fev

2003
A dynamic EMG profile index to quantify muscular activation disorder in spastic paretic gait.
    Electroencephalography and clinical neurophysiology, 1989, Volume: 73, Issue:3

    Topics: Adult; Cyproheptadine; Electromyography; Humans; Leg; Locomotion; Male; Middle Aged; Muscle Spastici

1989
Quantitative assessment of the effect of cyproheptadine on spastic paretic gait: a preliminary study.
    Journal of neurology, 1986, Volume: 233, Issue:5

    Topics: Adult; Cyproheptadine; Gait; Humans; Male; Middle Aged; Muscle Spasticity; Paralysis

1986