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Table 2 Resume of CNZ/FNZ-associated movement disorders

From: Cinnarizine- and flunarizine-associated movement disorder: a literature review

Movement disorder

PKN

DKN

AKT

DTN

MCL

Others

General data

Cases (%)

1251 (65.15)

23 (1.19)

11 (0.57)

16 (0.83)

5 (0.26)

614 (31.97)

1920

Continent (%)

Asian

332 (26.53)

0 (0)

1 (9.09)

2 (12.5)

1 (20)

498 (81.10)

834

European

575 (45.96)

4 (17.39)

4 (36.36)

5 (31.25)

0 (0)

75 (12.21)

663

North America

1 (0.07)

0 (0)

0 (0)

0 (0)

4 (80)

3 (0.48)

8

South America

343 (27.41)

19 (82.60)

6 (54.54)

9 (56.25)

0 (0)

38 (6.18)

415

Sex (%)

Female

429 (34.29)

19 (82.60)

5 (45.45)

10 (62.5)

3 (60)

NA

466

Male

161 (12.86)

4 (17.40)

2 (18.18)

6 (37.5)

2 (40)

175

Unknown

661 (52.83)

0 (0)

4 (36.36)

0 (0)

0 (0)

1294

Age (years)

Range

25–93

59–84

49–74

10.5–70

2.5–70

2.5–93 (Md, 71.1)

Mean

75.63

67.87

64.71

53.59

53.1

74.49 (SD, 7.88)

Number of reports with the drug (mean dose in mg)

CNZ

347 (150.12)

3 (175)

1 (75)

2 (32.5)

3 (NA)

356 (Mn, 148.19; SD, 42.51; Md, 154.4; Rg, 25–225)

FNZ

570 (11.19)

10 (10.16)

6 (20)

3 (8.33)

1 (NA)

590 (Mn, 11.22; SD, 5.39; Md, 10; Rg, 5–60)

FNZ +CNZ

18 (12.08 + 133.06)

1 (10 + 25)

0

3 (13.73 + 124.03)

1 (NA)

23 (Mn, 12.19 + 126.91; SD, 2.91 + 39.80; Rg, 8.75–20 + 25–154.4)

Unknown CNZ/FNZ

316

9

14

8

0

951

MD onset

Range

2 days–5 years

3 months–5 years

1 day–5 years

1 day–6 years

1 week–20 years

1 day–20 years (Md, 1.25)

Mean (years)

1.74

2.21

2.54

2.46

7.75

Mn, 1.83 (SD, 1.35)

MD recovery

Range

7 days–10 months

2 weeks–5 months

1 day–8 months

1.5 days–1 year

3 days–5 years

1 day–5 years (Md, 3 months)

Mean (months)

3.61

2.45

3.29

4.41

20.36

3.71 (SD, 1.26)

Follow-up, % CR (number of reports)

94.85% (406/428)

66.66% (10/15)

100% (7/7)

91.66% (11/12)

75% (3/4)

93.77% (437/466)

  1. Abbreviations: AKT akathisia, CR complete recovery, DKN dyskinesia, DTN dystonia, MCL myoclonus, MD movement disorder, Md median, Mn mean, NA not available/not applicable, PKN parkinsonism, SD standard deviation, Rg range (minimum–maximum). In the “Others” subgroup are cases not specified about the movement disorder such as extrapyramidal symptoms, tremor, bradykinesia, and myokymia