Rebound psychosis: Effect of discontinuation of antipsychotics in Parkinson's disease
Identifieur interne : 003766 ( Main/Exploration ); précédent : 003765; suivant : 003767Rebound psychosis: Effect of discontinuation of antipsychotics in Parkinson's disease
Auteurs : Hubert H. Fernandez [États-Unis] ; Martha E. Trieschmann [États-Unis] ; Michael S. Okun [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-01.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Antipsychotic, Antipsychotic Agents (adverse effects), Brief Psychiatric Rating Scale, Clozapine, Clozapine (adverse effects), Dibenzothiazepines (adverse effects), Dose-Response Relationship, Drug, Drug Administration Schedule, Drug Tolerance, Female, Humans, Male, Nervous system diseases, Parkinson Disease (complications), Parkinson disease, Parkinson, psychosis, Prospective Studies, Psychosis, Psychotic Disorders (complications), Psychotic Disorders (drug therapy), Quetiapine, Rebound, Recurrence, Time Factors, atypical antipsychotic, clozapine, discontinuation, quetiapine.
- MESH :
- chemical , adverse effects : Antipsychotic Agents, Clozapine, Dibenzothiazepines.
- complications : Parkinson Disease, Psychotic Disorders.
- drug therapy : Psychotic Disorders.
- Aged, Aged, 80 and over, Brief Psychiatric Rating Scale, Dose-Response Relationship, Drug, Drug Administration Schedule, Drug Tolerance, Female, Humans, Male, Prospective Studies, Recurrence, Time Factors.
Abstract
To determine whether psychiatrically stable patients with a history of drug‐induced psychosis could be successfully weaned off their antipsychotic drug, we offered consecutive Parkinson disease (PD) patients on quetiapine or clozapine, who were free of any on‐going psychosis, to be slowly weaned off their antipsychotic drug. Before the study was aborted 6 PD patients (mean age, 78 years) with an average antipsychotic exposure of 20 months (5 on quetiapine, 1 on clozapine) were enrolled. After the antipsychotic agent was discontinued, psychosis recurred in 5 of 6 patients. In 3 patients the “rebound psychosis” was worse than the original psychotic episode and required subsequent higher antipsychotic medication doses. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20260
Affiliations:
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Le document en format XML
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<term>Psychotic Disorders (complications)</term>
<term>Psychotic Disorders (drug therapy)</term>
<term>Quetiapine</term>
<term>Rebound</term>
<term>Recurrence</term>
<term>Time Factors</term>
<term>atypical antipsychotic</term>
<term>clozapine</term>
<term>discontinuation</term>
<term>quetiapine</term>
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<front><div type="abstract" xml:lang="en">To determine whether psychiatrically stable patients with a history of drug‐induced psychosis could be successfully weaned off their antipsychotic drug, we offered consecutive Parkinson disease (PD) patients on quetiapine or clozapine, who were free of any on‐going psychosis, to be slowly weaned off their antipsychotic drug. Before the study was aborted 6 PD patients (mean age, 78 years) with an average antipsychotic exposure of 20 months (5 on quetiapine, 1 on clozapine) were enrolled. After the antipsychotic agent was discontinued, psychosis recurred in 5 of 6 patients. In 3 patients the “rebound psychosis” was worse than the original psychotic episode and required subsequent higher antipsychotic medication doses. © 2004 Movement Disorder Society</div>
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