Donepezil in the treatment of hallucinations and delusions in Parkinson's disease

被引:106
作者
Fabbrini, G [1 ]
Barbanti, P [1 ]
Aurilia, C [1 ]
Pauletti, C [1 ]
Lenzi, GL [1 ]
Meco, G [1 ]
机构
[1] Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy
关键词
Parkinson's disease; hallucinations; delusions; donepezil;
D O I
10.1007/s100720200022
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
As cholinergic mechanisms may be at least partially responsible for hallucinations and delusions in Parkinson's disease (PD), we conducted an open study in 8 PD patients to assess the efficacy and tolerability of the cholinesterase inhibitor donepezil, 5 mg at bedtime for two months, in the treatment of these complications. Hallucinations and delusions improved significantly in all patients. Donepezil was overall well tolerated, but a deterioration in motor disability was noted in 2 out of 8 patients.
引用
收藏
页码:41 / 43
页数:3
相关论文
共 13 条
[1]   CONFUSION, DEMENTIA AND ANTICHOLINERGICS IN PARKINSONS-DISEASE [J].
DESMET, Y ;
RUBERG, M ;
SERDARU, M ;
DUBOIS, B ;
LHERMITTE, F ;
AGID, Y .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1982, 45 (12) :1161-1164
[2]  
Duvoisin RC, 1966, T AM NEUROL ASS, V91, P73
[3]  
Friedberg G, 1998, CLIN NEUROPHARMACOL, V21, P280
[4]   RISK-FACTORS FOR NURSING-HOME PLACEMENT IN ADVANCED PARKINSONS-DISEASE [J].
GOETZ, CG ;
STEBBINS, GT .
NEUROLOGY, 1993, 43 (11) :2227-2229
[5]   Intravenous levodopa in hallucinating Parkinson's disease patients: High-dose challenge does not precipitate hallucinations [J].
Goetz, CG ;
Pappert, EJ ;
Blasucci, LM ;
Stebbins, GT ;
Ling, ZD ;
Nora, MV ;
Carvey, PM .
NEUROLOGY, 1998, 50 (02) :515-517
[6]   Cholinesterase inhibition in Parkinson's disease [J].
Hutchinson, M ;
Fazzini, E .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (03) :324-325
[7]   Relation between cholinesterase inhibitor and Pisa syndrome [J].
Kwak, YT ;
Han, IW ;
Baik, J ;
Koo, MS .
LANCET, 2000, 355 (9222) :2222-2222
[8]   Randomized placebo-controlled trial of donepezil in patients with progressive supranuclear palsy [J].
Litvan, I ;
Phipps, M ;
Pharr, VL ;
Hallett, M ;
Grafman, J ;
Salazar, A .
NEUROLOGY, 2001, 57 (03) :467-473
[9]   Efficacy of rivastigmine in dementia with Lewy bodies: a randomised, double-blind, placebo-controlled international study [J].
McKeith, I ;
Del Ser, T ;
Spano, P ;
Emre, M ;
Wesnes, K ;
Anand, R ;
Cicin-Sain, A ;
Ferrara, R ;
Spiegel, R .
LANCET, 2000, 356 (9247) :2031-2036
[10]   ACETYLCHOLINE AND HALLUCINATIONS - DISEASE-RELATED COMPARED TO DRUG-INDUCED ALTERATIONS IN HUMAN CONSCIOUSNESS [J].
PERRY, EK ;
PERRY, RH .
BRAIN AND COGNITION, 1995, 28 (03) :240-258