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Psychosomatics 42:477-481, December 2001
© 2001 The Academy of Psychosomatic Medicine

Olanzapine for the Treatment of Psychosis in Patients With Parkinson's Disease and Dementia

Laura Marsh, M.D., Constantine Lyketsos, M.D., and Stephen G. Reich, M.D.

Received February 27, 2001; revised June 28, 2001; accepted July 19, 2001. From the Morris K. Udall Parkinson's Disease Research Center of Excellence at Johns Hopkins, the Neuropsychiatry Service, Department of Psychiatry and Behavioral Sciences, and the Movement Disorders Center, Department of Neurology, Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, MD. Address correspondence and reprint requests to Dr. Marsh, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St. Baltimore, MD 21287.

Psychotic symptoms are a common complication in Parkinson's disease with dementia. The authors conducted an open-label 6-week trial of olanzapine preceded by a placebo lead-in in five subjects with Parkinson's disease, mild to moderately severe dementia, and psychosis. Four of the subjects terminated the trial early because of worsening motor function, sedation, or paranoia. There was no improvement in psychotic symptoms, and functional abilities declined significantly. Olanzapine appears to be poorly tolerated in patients with Parkinson's disease, psychotic symptoms, and dementia.

Key Words: Dementia • Psychosis • Parkinson's Disease




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