CLOZAPINE FOR PSYCHOSIS IN PARKINSONS-DISEASE

被引:94
作者
PFEIFFER, RF
KANG, J
GRABER, B
HOFMAN, R
WILSON, J
机构
[1] Section of Neurology, University of Nebraska Medical Center, Omaha, Nebraska
[2] Department of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska
关键词
Clozapine; Parkinson's disease; Psychosis;
D O I
10.1002/mds.870050310
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The clinical efficacy of clozapine, an atypical antipsychotic, in treating levodopa‐induced hallucinations was investigated in five patients with Parkinson's disease under open label conditions. Two patients could not tolerate clozapine, even in doses as low as 12.5–25 mg daily, because of extreme sedation. Three patients could tolerate clozapine and experienced improvement or elimination of their hallucinations at doses below 100 mg daily. Despite a significant risk of adverse effects, cautious use of clozapine in low doses may be beneficial for patients with levodopa‐induced psychosis who do not respond to more conservative measures. Copyright © 1990 Movement Disorder Society
引用
收藏
页码:239 / 242
页数:4
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