Smoking and movement disorders in psychiatric patients.

Abstract:

:Previous studies have suggested that tardive dyskinesia may occur more frequently in patients who smoke. Further evidence of an interaction between smoking and movement disorders includes the low lifetime exposure to cigarettes found in Parkinson's disease patients. In this study 126 patients with chronic psychiatric illnesses were blindly evaluated for tardive dyskinesia, neuroleptic-induced parkinsonism, and akathisia. Patients who smoked received significantly higher doses of neuroleptics but did not have significantly more frequent or more severe tardive dyskinesia or parkinsonism. Female smokers did have significantly more akathisia. These results are discussed with regard to interactions between smoking, central dopaminergic tone, and the psychopathology of extrapyramidal syndromes. The effect of smoking on neuroleptic blood levels as well as clinical symptomatology is also discussed.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Menza MA,Grossman N,Van Horn M,Cody R,Forman N

doi

10.1016/0006-3223(91)90163-g

subject

Has Abstract

pub_date

1991-07-15 00:00:00

pages

109-15

issue

2

eissn

0006-3223

issn

1873-2402

pii

0006-3223(91)90163-G

journal_volume

30

pub_type

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