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Chapter 39: Problem 11

Hallucinations in Parkinson disease would ideally be treated with which of the following medications? a. haloperidol b. thorazine c. nortriptyline d. clozaril

Short Answer

Expert verified
a) Haloperidol b) Thorazine c) Nortriptyline d) Clozaril Answer: d) Clozaril

Step by step solution

01

Identify the medications listed

The exercise mentions four medications: 1. Haloperidol 2. Thorazine 3. Nortriptyline 4. Clozaril
02

Discuss haloperidol

Haloperidol is an antipsychotic medication, commonly used to treat symptoms of schizophrenia and can also be used for treating hallucinations. However, haloperidol is a dopamine antagonist, meaning it reduces dopamine levels. Since Parkinson's disease is characterized by a deficiency of dopamine, the use of haloperidol would likely worsen Parkinson's symptoms and is not an ideal choice.
03

Discuss thorazine

Thorazine is another antipsychotic medication that acts as a dopamine antagonist. Similar to haloperidol, thorazine is not ideal for treating hallucinations in Parkinson's disease because it could potentially worsen the symptoms by further reducing dopamine levels.
04

Discuss nortriptyline

Nortriptyline is a tricyclic antidepressant, primarily used for treating depression and anxiety disorders. It is not specifically intended to treat hallucinations and does not have a direct effect on dopamine levels, making it a less suitable choice for treating hallucinations in Parkinson's disease patients.
05

Discuss clozaril

Clozaril, also known as clozapine, is an atypical antipsychotic medication primarily used for treating schizophrenia and schizoaffective disorders. It works by acting on various neurotransmitters, including dopamine and serotonin. Importantly, clozaril is known for not worsening Parkinson's symptoms while effectively treating hallucinations. This makes it the most appropriate choice among the medications listed.
06

Choose the best medication

Based on the information provided, clozaril (option d) is the most appropriate medication for treating hallucinations in Parkinson's disease patients without worsening their symptoms.

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