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Treatment of parkinsonian tremor with clozapine.

AbstractAfter preliminary observations on 5 psychotic and 7 nonpsychotic parkinsonian patients had shown unexpected impressive beneficial effects of the atypical neuroleptic clozapine on tremor, an open clinical study including 12 patients was started. Under a dosage-range approximately 25-50 mg/day significant reduction of tremor intensity and tremor related functional disability (CURS, Sweet's scale) was achieved. Akinesia was not deteriorated, initial fatigue disappeared spontaneously. Pharmacological mode of action of clozapine's antitremor effect remains unclear. Its broad receptor binding spectrum with strong antiserotonergic properties might here play a major role.
AuthorsP A Fischer, H Baas, R Hefner (Affiliation: Department of Neurology, University of Frankfurt/M, Federal Republic of Germany.)
JournalJournal of neural transmission. Parkinson's disease and dementia section (J Neural Transm Park Dis Dement Sect) Vol. 2 Issue 3 Pg. 233-8 ( 1990) ISSN: 0936-3076 AUSTRIA
PMID2257063 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Clozapine
Topics
  • Aged
  • Aged, 80 and over
  • Clozapine (adverse effects, therapeutic use)
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parkinson Disease (complications, drug therapy)
  • Tremor (drug therapy, etiology)