Skip to main content

Advertisement

Log in

Efficacy and Safety of Noofen in the Treatment of Chronic Fatigue Syndrome in Patients with Cerebrovascular Failure

  • Published:
Neuroscience and Behavioral Physiology Aims and scope Submit manuscript

Objectives. To assess the efficacy and tolerance of Noofen in the treatment of chronic fatigue syndrome in patients with chronic cerebrovascular failure. Materials and methods. A total of 53 patients with cerebrovascular disease presenting active complaints of feelings of constant fatigue were studied; patients were randomized to form two groups. Patients of the study group (n = 33) received standard treatment and Noofen, while patients of the control group (n = 20) received only standard treatment. Treatment efficacy was assessed using the fatigue evaluation scale MFI-20, the Hospital Anxiety Scale HADS-A, and the Leeds Sleep Evaluation Questionnaire (LSEQ). The effectiveness of mental work was also assessed, using the Schulte test. Results and conclusions. Treatment with Noofen led to a marked decrease in the overall intensity of feelings of fatigue on the MFI-20 fatigue evaluation scale. Regression of fatigue intensity by 30–50% of baseline was seen in three quarters of the patients of the study group, and Noofen influenced reductions in all components of fatigue syndrome, including the mental components, and increased motivation. Reductions in the mental component of fatigue were combined with objective improvements in the effectiveness of mental work on the Schulte test. Thus, the effect of Noofen on the level of motivation and the mental component of fatigue can promote more effective cognitive training in patients with cerebrovascular failure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. A. Lerdal, L. Bakken, S. Kouwenhoven, et al., “Poststroke fatigue: a review,” J. Pain Symptom Manage., 38, 928–949 (2009), https://doi.org/10.1016/j.jpainsymman.2009.04.028.

    Article  PubMed  Google Scholar 

  2. D. Christensen, S. P. Johnsen, T. Watt, et al., “Dimensions of post-stroke fatigue: a two-year follow-up study,” Cerebrovasc. Dis., 26, 134–141 (2008), https://doi.org/10.1159/000139660.

    Article  PubMed  Google Scholar 

  3. V. Schepers, A. Visser-Meily, M. Ketelaar, and E. Lindeman, “Post-stroke fatigue: course and its relation to personal and stroke-related factors,” Arch. Phys. Med. Rehabil., 87, 184–188 (2006), https://doi.org/10.1016/j.apmr.2005.10.005.

    Article  PubMed  Google Scholar 

  4. O. V. Vorob’eva, “Valdoxan in the treatment of depression in neurological practice: results of The Russian multicenter naturalistic study ‘Resonance,’” Neurosci. Behav. Physiol., 43, No. 9, 1126–1131 (2013), https://doi.org/10.1007/s11055-013-9860-7.

    Article  CAS  Google Scholar 

  5. E. McGeough, A. Pollock, L. N. Smith, et al., “Interventions for post-stroke fatigue,” Cochrane Database Syst. Rev., 8, No. 3, CD007030 (2009), https://doi.org/10.1002/14651858.CD007030.pub2.

    Article  Google Scholar 

  6. O. V. Vorob’eva and V. V. Rusaya, “Pharmacotherapy of anxiety disorders in patients with chronic cerebral ischemia,” Zh. Nevrol. Psikhiat., 116, No. 12, Iss. 2, 3–8 (2016), https://doi.org/10.17116/jnevro20161161223-8-2017.

  7. E. M. A. Smets, B. Garssen, B. Bonke, and J. C. De Haes, “The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue,” J. Psychosom. Res., 39, No. 5, 315–325 (1995).

    Article  PubMed  CAS  Google Scholar 

  8. A. S. Zigmond and R. P. Snaith, “The Hospital Anxiety and Depression scale,” Acta Psychiatr. Scand., 67, 361–370 (1983), https://doi.org/10.1111/j1600-0447.

    Article  PubMed  CAS  Google Scholar 

  9. A. C. Parrott and I. Hindmarch, “Factor analysis of a sleep evaluation questionnaire,” Psychol. Med., 8, 325–329 (1978).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to O. V. Vorob’eva.

Additional information

Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 117, No. 11, Iss. 1, pp. 31–36, November, 2017.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vorob’eva, O.V., Rusaya, V.V. Efficacy and Safety of Noofen in the Treatment of Chronic Fatigue Syndrome in Patients with Cerebrovascular Failure. Neurosci Behav Physi 49, 246–251 (2019). https://doi.org/10.1007/s11055-019-00722-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11055-019-00722-2

Keywords

Navigation