Editor-in-Chief
Hatice Kübra Elçioğlu
Vice Editors
Levent Kabasakal
Esra Tatar
Online ISSN
2630-6344
Publisher
Marmara University
Frequency
Bimonthly (Six issues / year)
Abbreviation
J.Res.Pharm.
Former Name
Marmara Pharmaceutical Journal
Marmara Pharmaceutical Journal
2011 , Vol 15 , Issue 3
Drug induced parkinsonism as an adverse drug reaction
Hacettepe Üniversitesi, Eczacılık Fakültesi Toksikoloji AD, Ankara, Türkiye
DOI :
10.12991/201115423
The second cause of extrapyramidal symptoms worldwide is drug-induced parkinsonism and its prevalence
is raising and approaching that of idiopathic Parkinson's disease due to the ageing of the population and to the
increase in polypharmacy. Drug-induced parkinsonism was first reported as a complication of neuroleptics in psychiatric
patients, but later it has also been described with a great diversity of compounds such as antiepileptics, antimanics,
antiemetics, and calcium channel blockers. Although mostly reversible, drug-induced parkinsonism may
persist after drug withdrawal. At least 10% of patients with drug-induced parkinsonism develop persistent and progressive
parkinsonism. The best treatment of drug-induced parkinsonism is prevention, including the avoidance of
prescription of causative drugs whenever it is not strictly necessary. This review will focus on drugs that induce parkinsonism
(neuroleptics, calcium channel blockers, valproate, lithium and metochlopramide) and the possible toxicological
outcomes.
Keywords :
Drug induced parkinsonism, Parkinson disease, Neuroleptics, Antiepileptics, Calcium channel blockers