Psychiatr. praxi 2018; 19(2): 48-51 | DOI: 10.36290/psy.2018.012

Neuropsychiatric symptoms in Parkinson’s disease in older age

MUDr. Vanda Franková, MUDr. Ivana Horská
Psychiatrická nemocnice v Dobřanech

Neuropsychiatric symptoms are very common in Parkinson’s disease, especially in its later stage. They are often under-recognizedand poorly managed. Early intervention may prevent progression of symptoms and development of life-threatening behaviour.Clinicians are advised to routinely screen for psychiatric symptoms in the office and modify Parkinson’s disease treatment accordinglyor consider the addition of psychopharmacotherapy: rivastigmine in dementia and psychosis, SSRI or other antidepressivemedication in anxiety and depression, an atypical antipsychotic (quetiapine, clozapine) in low doses in psychosis or aggressivebehaviour if necessary. Non-pharmacological approaches are important. Case reports are presented.

Keywords: Parkinson’s disease, neuropsychiatric symptoms, management

Published: June 26, 2018  Show citation

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Franková V, Horská I. Neuropsychiatric symptoms in Parkinson’s disease in older age. Psychiatr. praxi. 2018;19(2):48-51. doi: 10.36290/psy.2018.012.
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