Antipsychotic treatment of primary delusional parasitosis

Abstract

In the absence of controlled trials there is limited evidence that antipsychotics are effective in primary delusional parasitosis. Rigorous studies are needed to evaluate their effectiveness and to compare typical and atypical antipsychotics directly.

Complex visual hallucinations and delusional infestation comorbidity

“…Due to side effects of classical antipsychotics, SGA constitute alternatives for DI treatment 3,5 . In relation to CVH/ CBS plus, evidence for SGA use is sparse, comprising only risperidone and olanzapine 1 .…”

“…Presence of hallucinations congruent with the delusions does not exclude the diagnosis 2 . DI treatment is particularly based on second generation antipsychotics (SGA) 3 . We report a case presenting DI and CVH treated with aripiprazole.…”

Delusional infestation: first case in the intellectually disabled population

“…Of the atypicals, risperidone and olanzapine have shown the best results. 1 We used aripiprazole to treat our patient. The literature shows eight cases of aripiprazole used to treat delusional infestation.…”

“…Its treatment has been described using typical antipsychotics and atypical antpsychotics. 1 We also report differences to the presentation from the classicallyreported primary disorder.…”

Treatment Modalities for Psychodermatological Diseases

“…Sanr›sal parazitozlu hastalar, hastal›¤›n psikolojik do¤as› ile ilgili içgörüye sahip olmad›klar›ndan, ya da çok s›n›r-l› bir içgörüleri olabildi¤inden, hastal›¤›n psikiyatrik oldu¤unu ifade eden en ufak bir yaklafl›ma fliddetle karfl› koyabilirler. Bu nedenle, ilgi ve güven temeline dayal› bir hekim hasta iliflkisi kurulduktan sonra ilaç tedavisine bafllanmal›d›r 26,27 . Risperidon Atipik antipsikotik bir ajand›r ancak etkisi tipik antipsikotiklere oldukça benzerdir.…”