LEVODOPA PSYCHOSES;
PARKINSONS DISEASE;
PSYCHOSIS IN PARKINSONS DISEASE;
ORGANIC PSYCHOSES;
D O I:
10.1097/00002826-199108000-00001
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Parkinson's disease (PD) is frequently associated with psychiatric problems. Depression generally responds to antidepressant medications or to electroconvulsive therapy (ECT). The nondepressive psychoses generally require a reduction in parkinsonian medications, or possibly a "drug holiday." In patients whose psychosis fails to respond to a reduction in medication or who cannot tolerate the worsening parkinsonism, an antipsychotic drug should be added. Clozapine is probably the drug of choice, with low potency neuroleptics being second-line options.