THE MANAGEMENT OF THE LEVODOPA PSYCHOSES

被引:101
作者
FRIEDMAN, JH
机构
[1] Division of Neurology, Roger Williams Medical Center, Providence, RI 02908
关键词
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.
引用
收藏
页码:283 / 295
页数:13
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