Document Detail


Quetiapine use in a patient with chronic schizophrenia and severe parkinsonism.
MedLine Citation:
PMID:  16232027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 52-year-old patient with treatment-resistant paranoid schizophrenia developed severe parkinsonian features after more than 20 years of antipsychotic drug therapy. The role of this therapy was thought to have been a contributing factor to the patient's clinical presentation, although Parkinson's disease could not be ruled out. Originally, parkinsonian symptoms developed acutely and progressed to hand tremor, sialorrhea, upper body rigidity, masked facies, striatal hand, bradykinesia, and a severe, unsteady, shuffling gait. Tremor and rigidity were the only parkinsonian symptoms that responded to anticholinergic therapy. After converting from a first- to a second-generation antipsychotic drug, the patient maintained psychiatric stability, with some improvement in motor functioning-most notably decreased upper body rigidity. Our findings are consistent with the literature on quetiapine therapy in patients with Parkinson's disease in terms of adequately controlling psychosis without worsening motor symptoms. The difference, however, was that in most cases reported, psychotic features were the result of dopamine-enhancing treatments and not schizophrenia.
Authors:
Steven C Stoner; Jessica W Lea; Angel L Wolf; Arnaldo A Berges
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pharmacotherapy     Volume:  25     ISSN:  0277-0008     ISO Abbreviation:  Pharmacotherapy     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-19     Completed Date:  2006-02-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111305     Medline TA:  Pharmacotherapy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1651-5     Citation Subset:  IM    
Affiliation:
Department of Pharmacy Practice, School of Pharmacy, University of Missouri, Kansas City, Missouri 64506, USA.
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / adverse effects*
Chronic Disease
Dibenzothiazepines / adverse effects*
Humans
Male
Middle Aged
Parkinsonian Disorders / chemically induced*
Schizophrenia / drug therapy*
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 0/Dibenzothiazepines; 0/quetiapine

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


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