L-tryptophan administration in L-dopa-induced hallucinations in elderly Parkinsonian patients.

Abstract:

:L-tryptophan (L-T) was added at a dose of 150-450 mg daily to eight Parkinsonian patients who developed visual hallucinations with paranoidal features under L-dopa (L-D) treatment (112.5-75 mg daily) in combination with alpha-methyldopa hydrazine (12.5-75 mg daily). In six patients L-T ameliorated the symptomatology by arresting the visual paranoidal hallucinations or diminishing their frequency and relieving the psychomotor agitation. As a 'side effect', L-T produced new 'pleasurable', 'LSD-like' visual images in three patients. In two patients, in whom L-T did not affect the mental disturbances, amelioration was obtained only by phenothiazines. Theoretical considerations on the role of dopamine in the genesis of visual hallucinations and mental disturbances emphasizes the benefit of L-T administration in this 'organomental' syndrome.

journal_name

Gerontology

journal_title

Gerontology

authors

Rabey JM,Vardi J,Askenazi JJ,Streifler M

doi

10.1159/000212220

subject

Has Abstract

pub_date

1977-01-01 00:00:00

pages

438-44

issue

6

eissn

0304-324X

issn

1423-0003

journal_volume

23

pub_type

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