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Table 1 Patients’ previous pharmacological therapies

From: Treatment of motor and behavioural symptoms in three Lesch-Nyhan patients with intrathecal baclofen

Patient

Remote therapeutic history

Previous therapy before ITB placement

1

Trihexyphenidyl

4 mg x3/day

Started in 2006

Discontinued in 2010

S-adenosyl methionine

400 mg x4/day

Started in 2000

Initial efficacy, progressively lost

Discontinued 24/04/2013

2

Risperidone

6 mg /day

Started in 1998

Discontinued in 2011

Levetiracetam

250 mg x3/day

Started in 2002

No efficacy

Weaned from 03/01/2014, discontinued 20/02/2014

Clonazepam

1 mg /day

Started in 2002

Partial efficacy on spasticity

Weaned from 12/02/2014, discontinued 21/02/2014

Sertraline

50 mg /day

Started in 2002

Scarce efficacy

Weaned from 08/02/2014, discontinued 22/02/2014

Zopiclone

7.5 mg /day

Started in 2002

Good efficacy on sleep improvement

Weaned from 12/02/2014, discontinued 21/02/2014

3

Enzyme replacement therapy

Intrathecal infusion of leukocytes (2/month)

Started in 1996

Discontinued in 2010

Gabapentin

400 mg x4/day

Started in May, 2013

No efficacy

Weaned from 23/01/2014, discontinued 15/03/2014

Intrathecal infusion of mesenchymal stem cells

Single administration in 2012