Movement Disorders (revue)

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Rebound psychosis: effect of discontinuation of antipsychotics in Parkinson's disease.

Identifieur interne : 002F85 ( PubMed/Checkpoint ); précédent : 002F84; suivant : 002F86

Rebound psychosis: effect of discontinuation of antipsychotics in Parkinson's disease.

Auteurs : Hubert H. Fernandez [États-Unis] ; Martha E. Trieschmann ; Michael S. Okun

Source :

RBID : pubmed:15390047

English descriptors

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.

DOI: 10.1002/mds.20260
PubMed: 15390047


Affiliations:


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pubmed:15390047

Le document en format XML

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<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.</div>
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