Serotoninic and cholinergic approachers in treatment of asthenia and cognitive dysfunction
https://doi.org/10.31363/2313-7053-2025-4-1251
Abstract
Neurochemical disorders following asthenia (A) in various parts of the brain are considered. For the first time, A presented as synaptic autoidosis caused by the imbalance of neurotransmitters (and other) systems in the brain structures responsible for emotional-volitional behaviour, motivation, cognitive and motor activity. We presented the hypothesis that choline replenishment with parallel enhancement of antioxidant activity with gincolydes can reduce A autocoidosis, and ameliorate A clinical symptoms. 40 patients with similar clinical course A (mild and moderate cognitive disorders, asthenic symptoms, etc.), received composition of choline strong which includes choline as such (550 mg), and standardized GINKGO biloba (60 mg) in a single capsule BID, for the period of 60 days. Evaluation of the Spielberg tests, depression (Beck Scale), the A and MOCA tests, as well as the Schulze test, and general clinical indicators, after processing the results showed a significant improvement in patient’s condition.
Keywords
About the Authors
V. V. AfanasievРоссия
Vasily V. Afanasiev
Saint Petersburg,
E. L. Pugacheva
Россия
Ekaterina L. Pugacheva
Saint Petersburg
N. F. Porhun
Россия
Nikolaj F. Porhun
Saint Petersburg
N. V. Petrova
Россия
Nelli V. Petrova
Saint Petersburg
S. A. Klimancev
Россия
Sergej A. Klimancev
Saint Petersburg
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Review
For citations:
Afanasiev V.V., Pugacheva E.L., Porhun N.F., Petrova N.V., Klimancev S.A. Serotoninic and cholinergic approachers in treatment of asthenia and cognitive dysfunction. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2025;59(4):45-58. (In Russ.) https://doi.org/10.31363/2313-7053-2025-4-1251
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