Objectives : In this clinical trial , we want to investigate the effect of Bumetanide on positive, negative and cognitive symptoms of schizophrenic patients.
Design: This study is a single-center double-blind placebo-controlled randomized longitudinal clinical trial.
Sample size: 20 patients per group
Blinding and randomization: Patient will randomly be divided to control and treatment groups that should participate in a double-blind study .Treatment group will take bumetanide 1mg/twice daily and control group will take placebo. Neither patients nor evaluators will not be inform about type of drugs, placebo or bumetanide.
Criteria:
inclusion criteria: (1) Diagnosis of schizophrenia at any subtype according to DSM-IV diagnosis an statistical manual of mental disorders, 4th edition (2) aged 20 to 70 years (3) disease duration for at least 3 years (4) had a total score of at least 70 on the positive and negative syndrome scale(PANSS) (5) had persistent negative or considerable cognitive symptoms, that are equivalent with at least 20 and 15 score on the negative and cognitive subscales of PANSS, respectively. Exclusion criteria were: patients with a (1) documented fluctuation in symptoms (2) uncontrollable significant conditions (3) As well as concurrent history of significant psychiatric (except schizophrenia), cardiovascular, renal, hepatic, convulsive disorders or substance abuse.
Intervention: as we mentioned above, one group will take bumetanide 1 mg/ twice daily and control group will take same dose of placebo.
Main outcome measure:
Primary outcome measures:
Two groups will be evaluate by PNASS, BPRS, before drug taking and 1,2 months after the drug taking and after one-month drug-free washout period. At the end, the data gathered from these four assessments will be compared.
Secondary outcome measures:
Two groups will be evaluate by AIMS (for side effect) before drug taking and 1,2 months after the drug taking and after one-month drug-free washout period. At the end, the data gathered from these four assessments will be compared.