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- Title
Mirtazapine improves visual hallucinations in Parkinson's disease: a case report.
- Authors
Tagai, Kenji; Nagata, Tomoyuki; Shinagawa, Shunichiro; Tsuno, Norifumi; Ozone, Motohiro; Nakayama, Kazuhiko
- Abstract
Psychotic symptoms often occur as a complication in Parkinson's disease patients, and a set of criteria for Parkinson's disease with psychosis ( PDPsy) has been established. Among these criteria, hallucinations are one of the specific symptoms, with visual hallucinations being the most common. While atypical antipsychotic agents are often used for the treatment of PDPsy, adverse effects, including extrapyramidal symptoms, often hinder its continuation or tolerance. There have been some reports and reviews indicating that antidepressants may be effective for PDPsy and other forms of dementia with psychosis. In this report, we present a patient with PDPsy who was treated with one of the new-generation antidepressants, mirtazapine. Mirtazapine improved the patient's refractory psychotic symptoms, especially her visual hallucinations, without worsening her motor symptoms.
- Subjects
ALZHEIMER'S disease diagnosis; DRUG therapy for Parkinson's disease; PARKINSON'S disease diagnosis; MIRTAZAPINE; HALLUCINATIONS; HEALTH outcome assessment; TREATMENT effectiveness; THERAPEUTICS
- Publication
Psychogeriatrics, 2013, Vol 13, Issue 2, p103
- ISSN
1346-3500
- Publication type
Article
- DOI
10.1111/j.1479-8301.2012.00432.x