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RCT Pharmacotherapy 2000

The psychometric and cardiac effects of pseudoephedrine in the hyperbaric environment

Taylor D, O'Toole K, Auble T, Ryan C, Sherman D — Pharmacotherapy, 2000

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a double-blind, placebo-controlled crossover study involving 30 active divers to assess the effects of pseudoephedrine on mental function and heart activity at 1 and 3 atmospheres of pressure.

What They Found

Pseudoephedrine did not significantly alter psychometric test scores (p>0.05) but tended to increase anxiety (p=0.092). Depth, however, significantly increased anxiety (p=0.021) and decreased verbal fluency (p=0.041). Pseudoephedrine significantly increased heart rate (p=0.036), while depth significantly decreased it (p=0.013), with neither affecting cardiac rhythm.

What This Means for Canadian Patients

For Canadian patients who are active divers and might consider using pseudoephedrine, this study suggests the drug does not significantly impair mental performance at pressures up to 3 ATA (66 feet of sea water). However, divers should be aware that depth itself can increase anxiety and affect verbal fluency.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

The study involved a specific group of active divers and did not fully explore the clinical significance of the observed heart rate changes.

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Study Details

Study Type RCT
Category Neurological
Source Pubmed
PubMed ID 10999495
Year Published 2000
Journal Pharmacotherapy
MeSH Terms Adult; Aged; Analysis of Variance; Anxiety; Atmosphere Exposure Chambers; Atmospheric Pressure; Atrial Premature Complexes; Bronchodilator Agents; Cognition; Cross-Over Studies; Diving; Double-Blind Method; Ephedrine; Female; Heart Rate; Humans; Male; Middle Aged; Psychometrics; Ventricular Premature Complexes

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.