Evidence map›Paper›PMID 33572109›Full record

ReviewMedicina (Kaunas, Lithuania)2021

Neuropsychiatric Consequences of Lipophilic Beta-Blockers.

Sabina Alexandra Cojocariu, Alexandra Maștaleru, Radu Andy Sascău, Cristian Stătescu, Florin Mitu, Maria Magdalena Leon-Constantin

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sabina Alexandra CojocariuDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.
Alexandra MaștaleruDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.ORCID 0000-0002-0008-9696
Radu Andy SascăuDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.
Cristian StătescuDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.ORCID 0000-0001-6439-4561
Florin MituDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.ORCID 0000-0003-1801-9327
Maria Magdalena Leon-ConstantinDepartment of Medical Specialties (I), Faculty of Medicine, "Grigore T Popa" University of Medicine and Pharmacy, University Street nr 16, 700115 Iasi, Romania.ORCID 0000-0002-5836-1322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Beta-blockers are a class of drugs with important benefits in cardiovascular pathology. In this paper, we aim to highlight their adverse and therapeutic effects in the neuropsychiatric field. With respect to permeability, we would like to mention that most beta-blockers are lipophilic and can cross the blood-brain barrier. Observational studies show the presence of neuropsychiatric side effects when taking beta-blockers, and is the reason for which caution is recommended in their use in patients with depressive syndrome. From a therapeutic point of view, most current evidence is for the use of beta-blockers in migraine attacks, essential tremor, and akathisia. Beta-blockers appear to be effective in the treatment of aggressive behavior, beneficial in the prevention of posttraumatic stress syndrome and may play a role in the adjuvant treatment of obsessive-compulsive disorder, which is refractory to standard therapy. In conclusion, the relationship between beta-blockers and the central nervous system appears as a two-sided coin. Summarizing the neuropsychiatric side effects of beta-blockers, we suggest that clinicians pay special attention to the pharmacological properties of different beta-blockers.

Indexed as

Migraine DisordersStress Disorders, Post-TraumaticAdrenergic beta-AntagonistsAggressionCentral Nervous SystemHumansAdrenergic beta-Antagonistsbeta-blockersdepressionfatiguemigrainepropranolol

Identifiers

PMID33572109
PMCPMC7914867

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.