Treating hallucinations in Parkinson's disease.

Treating hallucinations in Parkinson's disease. Expert Rev Neurother. 2020 Nov 12;: Authors: Powell A, Matar E, Lewis SJ Abstract Introduction: Hallucinations in Parkinson's disease are common, can complicate medication management and significantly impact upon the quality of life of patients and their carers. Areas covered: This review aims to examine current evidence for the management of hallucinations in Parkinson's disease. Expert opinion: Treatment of hallucinations in Parkinson's disease should be both individualised and multifaceted. Screening, education, medication review and the avoidance of common triggers are important. For well-formed visual hallucinations, acetylcholinesterase inhibitors are recommended first-line. Refractory or severe symptoms may require the cautious use of atypical antipsychotics. Antidepressants may be beneficial in the appropriate setting. Unfortunately, current therapies for hallucinations offer only limited benefits and future research efforts are desperately required to improve the management of these challenging symptoms. PMID: 33183105 [PubMed - as supplied by publisher]
Source: Expert Review of Neurotherapeutics - Category: Neurology Tags: Expert Rev Neurother Source Type: research