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From the Department of Neurology (Drs. SchneiderGold, Beck, Wessig, George, Reiners, and Toyka), University of Würzburg; and Department of Clinical Neurophysiology (Dr. Kele), University of Göttingen, Germany.
Address correspondence and reprint requests to Dr. Christiane SchneiderGold, Department of Neurology, University of Würzburg, Josef-Schneider Str. 11, 97080 Würzburg, Germany; e-mail: chris.schneider{at}mail.uni-wuerzburg.de
The efficacy and safety of creatine monohydrate (Cr) in patients with myotonic dystrophy type 2/proximal myotonic myopathy were studied in a small placebo-controlled double-blind trial. Twenty patients received either Cr or placebo for 3 months. After 3 months, there were no significant differences of muscle strength as assessed by hand-held dynamometry, testing of maximum grip strength, Medical Research Council scoring, and the Neuromuscular Symptom Score between the two groups. Some measures indicated trends toward mild improvement with Cr. Myalgia improved in two patients.
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