Levodopa-induced psychosis can complicate the treatment of Parkinson's disease (PD). In this retrospective, uncontrolled report, we describe our experience treating PD-related psychosis with clozapine, emphasizing those patients treated for longer than 1 year. Twenty-seven patients were treated, 14 for longer than 1 year. Most patients showed a rapid improvement from baseline within 1 month using the Clinical Global Impression and Global Psychosis Rating Scores. Five patients discontinued the drug due to side effects, but only two patients reported side effects after 6 months of treatment. Clozapine appears to be effective in treating PD related psychotic symptoms while not interfering with motor function.

译文

左旋多巴引起的精神病会使帕金森氏病(PD)的治疗复杂化。在这份回顾性的,不受控制的报告中,我们描述了用氯氮平治疗PD相关性精神病的经验,强调那些接受治疗超过1年的患者。治疗了27例患者,其中14例的病程超过1年。使用临床总体印象和总体精神病评分分数,大多数患者在1个月内显示出从基线开始的快速改善。有5名患者由于副作用而停药,但只有2名患者在治疗6个月后报告了副作用。氯氮平似乎可以有效治疗PD相关的精神病症状,同时又不影响运动功能。

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