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http://dx.doi.org/10.1055/s-2007-1017313DOI Listing

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Article Synopsis
  • * Various eye exams revealed additional problems: 20.3% showed lid pigmentation, 32.2% had cataracts, and 4.2% experienced peripheral retina degeneration, while Schirmer's test indicated varying levels of dry eyes among participants.
  • * The research highlighted that long-term use and higher doses of psychotropic drugs could lead to serious eye-related side effects, affecting patients' overall quality of life and necessitating preventive measures against visual impairment.
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Background: Hemiballism (HB) and hemichorea (HC) are the most frequent secondary movement disorders, usually caused by cerebrovascular diseases. In only a minority of cases, these involuntary movements are not self-limited, and they may severely compromise patients' quality of life, so that symptomatic treatments are required. Typical and atypical neuroleptics as well as tetrabenazine are considered therapies of choice.

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Dopamine supersensitivity psychosis (DSP) in patients with schizophrenia is induced by treatment with a high dosage of antipsychotics for a long time period, and it is characterized by unstable psychotic symptoms. The upregulation of dopamine D2 receptor (DRD2) provoked by antipsychotics underlies DSP. Aripiprazole does not cause an excessive blockade of DRD2 and is less likely to upregulate DRD2 by aripiprazole's dopamine partial agonistic profile.

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Background: Haloperidol at high dosage is associated with QTc prolongation and polymorphic ventricular arrhythmia but the effects of low-dose haloperidol remain unknown.

Objective: To evaluate the effects of low-dose haloperidol on QTc-duration in frail hospitalized elderly patients with delirium.

Methods: A prospective observational study including hospitalized patients aged ≥70 years with Groningen Frailty Index-score > 3.

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Treatment for Negative Symptoms in Schizophrenia: A Comprehensive Review.

Drugs

September 2017

Academic Medical Center, University of Amsterdam, Academic Psychiatric Centre, Early Psychosis Department, Arkin, Amsterdam, The Netherlands.

Negative symptoms (such as amotivation and diminished expression) associated with schizophrenia are a major health concern. Adequate treatment would mean important progress with respect to quality of life and participation in society. Distinguishing primary from secondary negative symptoms may inform treatment options.

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