Abstract

The article deals with the experience of tofisopam application in therapy of anxiety disorders in neurologic profile patients of the rehabilitation inpatient therapy. 45 patients with chronic vertebra-basilar insufficiency, consequences of the ischemic stroke, intervertebral discs lesions and spinal column dorsopathies were examined. The structure of psychic disorders was determined by the presence of the generalized anxiety disorder, organic anxiety disorder, emotionally instable disorder by ICD-10. The physiologic problem characterizing these patients was related to pain and mobility disturbance, general somatic state as well as situations preconditioned by a fact of chronic disease and its psychosocial consequences. The effectiveness of tofisopam is shown with use of psychometric scales CGI, HADS and Spielberg-Khanin Anxiety Scale with respect to reactive anxiety preconditioned by external factors as well as its good tolerability, safety and lack of negative effect on the cognitive sphere. A conclusion about the expediency of tofisopam for rehabilitation of neurologic patients is made, especially patients with vertebra-basilar insufficiency.

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