Antipsychotikaassoziierte motorische Symptome bei schizophrenen Psychosen

• Verfasst von: Hirjak, Dusan [VerfasserIn]
• Verfasst von: Kubera, Katharina Maria [VerfasserIn]
• Verfasst von: Thomann, Philipp [VerfasserIn]
• Verfasst von: Wolf, Robert Christian [VerfasserIn]
• Titel: Antipsychotikaassoziierte motorische Symptome bei schizophrenen Psychosen
• Titelzusatz: Teil 1 : Dystonien, Akathisie und Parkinsonismus
• Paralleltitel: Antipsychotic-inducedmotor symptoms in schizophrenic psychoses
• Paralleltitelzusatz: Part 1 : Dystonia, akathisia und parkinsonism
• Verf.angabe: D. Hirjak, K.M. Kubera, S. Bienentreu, P.A. Thomann, R.C. Wolf
• Jahr: 2019
• Jahr des Originals: 2018
• Umfang: 11 S.
• Fussnoten: Online publiziert: 20. August 2018 ; Gesehen am 18.07.2019
• Titel Quelle: Enthalten in: Der Nervenarzt
• Ort Quelle: Berlin : Springer, 1996
• Jahr Quelle: 2019
• Band/Heft Quelle: 90(2019), 1, Seite 1-11
• ISSN Quelle: 1433-0407
• DOI: doi:10.1007/s00115-018-0582-5
• Datenträger: Online-Ressource
• Sprache: ger eng
• Sach-SW: Akathisia
• Sach-SW: Akathisie
• Sach-SW: Antipsychotics
• Sach-SW: Antipsychotika
• Sach-SW: Dystonia
• Sach-SW: Dystonien
• Sach-SW: Parkinsonism
• Sach-SW: Parkinsonismus
• Sach-SW: Therapie
• Sach-SW: Therapy
• K10plus-PPN: 166939493X

Abstract

Acute antipsychotic-induced movement disorders (AIMD) are clinically relevant since they are frequently associated with high subjective distress, and since over the long-term they can negatively impact treatment adherence of patients with schizophrenic psychoses. This review article summarizes the relevant studies on the prevalence, risk factors, prevention and treatment options and instruments for early prediction of acute AIMD in schizophrenic psychoses. The current evidence and treatment recommendations are divided into three main areas: acute dystonia, akathisia, and parkinsonism. For the treatment of acute dystonia trihexyphenidyl and biperiden have shown their efficacy. Considering pharmacological treatment of akathisia, there is some preliminary evidence for medication with lipophilic beta-receptor blockers (propranolol and pindolol), clonidine, benzodiazepines, mianserin, mirtazapine und trazodone. The treatment options for drug-induced parkinsonism include reduction or switching from one antipsychotic to another with a lower affinity for dopamine D2 receptors, amantadine or in the regular administration of anticholinergic drugs. In conclusion, acute AIMD is easily to recognize but is not always effectively and durably treated. Early recognition and treatment of acute AIMD could be associated with improved treatment outcomes.