Low-dose clozapine for the treatment of Parkinson's disease in a patient with schizophrenia.

Abstract:

:Clozapine is known to be beneficial for the treatment of dopamine agonist-induced psychotic states in patients with Parkinson's disease (PD). Many reports have suggested that it may also be efficacious for the treatment of parkinsonian tremor. We describe a patient with schizophrenia in whom early-onset PD appeared after treatment with antipsychotic drugs. When the parkinsonian symptoms proved resistant to anticholinergic agents, we introduced a trial with up to 50 mg clozapine daily, which yielded a prompt and dramatic response. Thereafter, the parkinsonian symptoms reappeared each time the patient discontinued clozapine and rapidly disappeared on its repeat initiation. There was also a marked improvement in his psychotic and depressive symptoms. This report suggests that some patients with concomitant schizophrenia and PD-a difficult treatment challenge-may benefit from clozapine treatment alone for both disorders.

journal_name

Clin Neuropharmacol

authors

Orr G,Munitz H,Hermesh H

doi

10.1097/00002826-200103000-00011

keywords:

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

117-9

issue

2

eissn

0362-5664

issn

1537-162X

journal_volume

24

pub_type

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