Document Detail


Atypical antipsychotics in the treatment of delusional parasitosis.
MedLine Citation:
PMID:  14971869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Delusional parasitosis is the false belief that one's body is infested with one or many different living organisms. Historically, it has been treated with conventional antipsychotics with only moderate success. The conventional antipsychotic most commonly used has been pimozide. We report a series of five cases of patients with delusional parasitosis. Our patients' demographic characteristics were similar to those in previously published case reports, but instead of being treated with older antipsychotics, they were all treated with atypical antipsychotic agents with favorable results. We will discuss the rationale for this treatment choice, and will review the role of serotonin/dopamine antagonists in the treatment of delusional parasitosis. We will also comment on the possible role of serotonergic antidepressants in the treatment of these patients.
Authors:
Michael T Wenning; Leigh E Davy; Glenn Catalano; Maria C Catalano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists     Volume:  15     ISSN:  1040-1237     ISO Abbreviation:  Ann Clin Psychiatry     Publication Date:    2003 Sep-Dec
Date Detail:
Created Date:  2004-02-19     Completed Date:  2004-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8911021     Medline TA:  Ann Clin Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-9     Citation Subset:  IM    
Affiliation:
Department of Psychiatry and Behavioral Medicine, University of South Florida College of Medicine, Tampa, Florida, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Antipsychotic Agents / administration & dosage*
Bipolar Disorder / diagnosis,  drug therapy,  psychology
Comorbidity
Delusions / diagnosis,  drug therapy*,  psychology
Depressive Disorder, Major / diagnosis,  drug therapy,  psychology
Dibenzothiazepines / administration & dosage*
Dose-Response Relationship, Drug
Drug Therapy, Combination
Ectoparasitic Infestations / psychology*
Female
Helminthiasis / psychology*
Humans
Male
Middle Aged
Patient Admission
Referral and Consultation
Risperidone / administration & dosage*
Shared Paranoid Disorder / diagnosis,  drug therapy,  psychology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 0/Dibenzothiazepines; 0/quetiapine; 106266-06-2/Risperidone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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