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                  <text>'r
94.2.;

’

December 5, 1972

Jonathan 0. Cole,
Superintendent

M.D.

The Commonwealth of Massachusetts

Department of Mental Health
boston State Hospital

soston, massachusetts 02124
Dear Jon;

I read the ”Effects of Acute Administration of Papaverine
the EEG and Behavior of the Normal Geriatric” with interest.
findings are consistent with the prevailing hypotheses relating
change and behavior.

dCL on

The

LEG

The discussion focusaes on the issues that I would raise:
the selection of subjects and the drug dosage. The study should
be continued in elderly subjects with EEG evidence of decompensation.
Ihe dosage issue is also critical, and a dose finding study would
be useful, using progressively higher doses in pairs of subjects
until EEG evidence of change is clearly evident or behavioral tox—

icity limits further trials. (Now that our EEG profiling methods,
the recording and analyses, are standardized, the dose finding has
become the most difficult part of our studies).
text leaves a

battery of
significant time Span. When are
the behavioral tests done, in relation to the EEG, and in relation

tests is

The

few

questions unanswered.

large and must occupy a

to the drug ingestion?

How

long an

EEG

sample

The

is taken?

The hypothesis anticipates a change in mean alpha frequency,
abundance
(amount). It is possible for the amount of 8~9 cps
not
be
reduced, and 10-11 cps to increase, and yet, the total alpha
to

not exhibit much change. Indeed, this is not infrequent ~ we have
reported this type of change with cannabis, and others have noted
similar effects in cats with psychotropic drugs. It may be appro«
priate to undertake a ”narrow band” analysis, i;g., reanalyze the
records filtering first so that activity below 5 cps and above 13
(15) ops is suppressed, and then measure the changes in l—cycle band
widths from 6 to 13 cps:

�'T

December 5, 1972

Jonathan 0. Cole, M.D.

were unaffected, it is conchanges minimal. The task remains, to define
the central effects of papaverine, and both dosage, time, and sub—
jects may have to be varied to achieve the result, or to state that

Finally, since behavioral tasks

sistent to find the
CNS

EEG

effects are not significant.

George Gardos has sent us a restatement of the times and
dosages of the subjects in the thiothixene study, requesting a reanalysis. We will rerun the analyses as soon as I am able the
equipment is moving this week and it may be some time until we are
—

able to get to this work.

I look forward to seeing you in San Juan.
Sincerely yours,
Max

Fink, M.D.

Professor of Psydhiatry
iF:gg

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