Objectives:
The purpose of the present study is to assess possible correlations between serum concentrations of vitamin D and disease activity in patients with schizophrenia treated with atypical antipsychotic except clozapine.
Study Design and Population:
This randomized clinical trial will be conducted at the Zare Mental Health Center, Sari, Iran.
Eighty schizophrenic patients based on DSM-IV TR criteria will be included in the study if they are aged between 18 to 65 years, treated with atypical antipsychotic drugs except clozapine and Vitamin D deficiency (serum vitamin D concentrations less than 30 ng/ml) .Patients with Acute renal failure, hepatic failure, parathyroid disease and consumption of vitamin D, parathyroid hormone, calcium, and phosphorous supplements will be excluded from study.
Intervention:
If the patient meets our inclusion criteria, he is entered in the study. Randomization was applied for each treatment group(1:1).In Group A, 600000 IU vitamin D supplementation is added intramuscular to standard atypical antipsychotic drug regimens monthly for three months. In Group B, as control group, is received only standard atypical antipsychotic drug regimens. Patients in second group will be supplemented with vitamin D after the 3 months period.
Measurements and outcomes:
At the baseline visit and after three months, blood samples are drawn for analysis of serum vitamin D, calcium, phosphorous, creatinine, BUN and routine liver function tests. Schizophrenic symptoms are evaluated with Positive and Negative Syndrome Scale (PANSS) at baseline and monthly for three months.