Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression
Thomas M Penders,1 Salina Agarwal,2 Rachel Rohaidy11Department of Psychiatric Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA; 2Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USAAbstract: There has been increasin...
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Dove Medical Press
2013
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oai:doaj.org-article:9f94ced29c31417d8efb2ed5cf77033b2021-12-02T07:43:39ZPersistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression1176-63281178-2021https://doaj.org/article/9f94ced29c31417d8efb2ed5cf77033b2013-04-01T00:00:00Zhttp://www.dovepress.com/persistent-akathisia-masquerading-as-agitated-depression-after-use-of--a12657https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Thomas M Penders,1 Salina Agarwal,2 Rachel Rohaidy11Department of Psychiatric Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA; 2Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USAAbstract: There has been increasing recognition that the second-generation antipsychotic drugs can produce extrapyramidal side effects. This case reports the development of severe akathisia in a patient being treated with ziprasidone for bipolar depression. The case illustrates that this symptom can be easily mistaken for worsening agitated depression. Akathisia may produce considerable distress and elevate suicide risk. Such symptoms may persist for weeks and be refractory to discontinuation of the offending agent or to pharmacological interventions commonly used to mitigate this reaction.Keywords: extrapyramidal, second-generation, affective, antipsychotic, suicide, mood disorderPenders TMAgarwal SRohaidy RVDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 463-465 (2013) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Penders TM Agarwal S Rohaidy RV Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
description |
Thomas M Penders,1 Salina Agarwal,2 Rachel Rohaidy11Department of Psychiatric Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA; 2Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USAAbstract: There has been increasing recognition that the second-generation antipsychotic drugs can produce extrapyramidal side effects. This case reports the development of severe akathisia in a patient being treated with ziprasidone for bipolar depression. The case illustrates that this symptom can be easily mistaken for worsening agitated depression. Akathisia may produce considerable distress and elevate suicide risk. Such symptoms may persist for weeks and be refractory to discontinuation of the offending agent or to pharmacological interventions commonly used to mitigate this reaction.Keywords: extrapyramidal, second-generation, affective, antipsychotic, suicide, mood disorder |
format |
article |
author |
Penders TM Agarwal S Rohaidy RV |
author_facet |
Penders TM Agarwal S Rohaidy RV |
author_sort |
Penders TM |
title |
Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
title_short |
Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
title_full |
Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
title_fullStr |
Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
title_full_unstemmed |
Persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
title_sort |
persistent akathisia masquerading as agitated depression after use of ziprasidone in the treatment of bipolar depression |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/9f94ced29c31417d8efb2ed5cf77033b |
work_keys_str_mv |
AT penderstm persistentakathisiamasqueradingasagitateddepressionafteruseofziprasidoneinthetreatmentofbipolardepression AT agarwals persistentakathisiamasqueradingasagitateddepressionafteruseofziprasidoneinthetreatmentofbipolardepression AT rohaidyrv persistentakathisiamasqueradingasagitateddepressionafteruseofziprasidoneinthetreatmentofbipolardepression |
_version_ |
1718399239689601024 |