Document Detail


Mirtazapine induces REM sleep behavior disorder (RBD) in parkinsonism.
MedLine Citation:
PMID:  12525729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Shortly after initiation of mirtazapine (a noradrenergic and serotonergic antidepressant) treatment in four patients with parkinsonism, the authors observed the appearance of REM sleep behavior disorder (RBD). In the two patients with severe motor symptoms, RBD was accompanied by hallucinations and confusion. These disturbances resolved with drug discontinuation, and remained resolved by 12- to 24-month follow-up, suggesting that RBD can be triggered by a drug lacking anticholinergic activity.
Authors:
M Onofrj; A L Luciano; A Thomas; D Iacono; G D'Andreamatteo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurology     Volume:  60     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-14     Completed Date:  2003-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Oncology and Neuroscience, University G. D'Annunzio, Pescara, Italy. onofrj@unich.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Antidepressive Agents, Tricyclic / adverse effects*
Depression / complications,  drug therapy
Electroencephalography
Humans
Levodopa / therapeutic use
Male
Mianserin / adverse effects*,  analogs & derivatives*
Neuropsychological Tests
Parkinsonian Disorders / complications,  drug therapy*
Polysomnography
REM Sleep Behavior Disorder / chemically induced*,  complications
Chemical
Reg. No./Substance:
0/Antidepressive Agents, Tricyclic; 0/Levodopa; 24219-97-4/Mianserin; 61337-67-5/mirtazapine
Comments/Corrections
Comment In:
Neurology. 2003 Oct 28;61(8):1161; author reply 1161   [PMID:  14581700 ]

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


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