Effects of Biperiden and Amantadine on Memory in Medicated Chronic Schizophrenic Patients
BackgroundThe effects on memory of an anticholinergic (biperiden) and a dopaminergic (amantadine) anti-Parkinsonian agent were compared.MethodTwenty-six chronically medicated schizophrenic (DSM–III–R) in-patients received amantadine (200 mg/day) or biperiden (4 mg/day) for two weeks in a double-blind cross-over design.ResultsBiperiden treatment was associated with significantly lower scores on Benton Visual Retention Test (P< 0.003) and the visual subscale of Wechsler Memory Scale (WMS) (P≤ 0.02), with a trend to poorer scores on WMS total (P= 0.086) and the digit span (P= 0.07) and logical memory (P= 0.06) subscales.ConclusionsIn usual clinical doses, biperiden interferes with memory, particularly visual, more than amantadine.