0
ARTICLE |

Treatment of Delusional Parasitoses-Reply FREE

John Koo, MD
JAMA. 1997;278(16):1320-1320. doi:10.1001/jama.1997.03550160040034
Text Size: A A A
Published online

In Reply.  —The suggestion by Dr Clayton and others regarding the use of EPS-sparing antipsychotic drugs for the treatment of delusions of parasitosis is a good idea that needs to be evaluated clinically. If these medications do work well for delusions of parasitosis, they can certainly replace pimozide as the treatment of choice. However, these EPS-sparing antipsychotic medications may not work as well as pimozide. This possibility arises because there is something unique about pimozide compared with the other antipsychotic agents, and this uniqueness may be responsible for pimozide's particular efficacy for this condition: pimozide has great efficacy for formication (crawling, biting, and stinging sensations).1 In Europe, it was found that there are only 2 antipsychotic medications that have profound effect on formication: one is pimozide and the other is flusipilene, a long-acting antipsychotic medication not available in the United States.2 Both of these medications are unique in that they

REFERENCES

Damiani JT, Flowers FP, Pierce DK.  Pimozide in delusions of parasitosis . J Am Acad Dermatol . 1990;;22:312-313.
Hamann K, Avnstorp L.  Delusions of infestion treated by pimozide: a double-blind crossover clinical study . Acta Derm Venereol . 1982;;62:55-58.
Holmes VF.  Treatment of monosymptomatic hypochondriacal psychosis with pimozide in an AIDS patient . Am J Psychiatry . 1989;;146:554-555.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Damiani JT, Flowers FP, Pierce DK.  Pimozide in delusions of parasitosis . J Am Acad Dermatol . 1990;;22:312-313.
Hamann K, Avnstorp L.  Delusions of infestion treated by pimozide: a double-blind crossover clinical study . Acta Derm Venereol . 1982;;62:55-58.
Holmes VF.  Treatment of monosymptomatic hypochondriacal psychosis with pimozide in an AIDS patient . Am J Psychiatry . 1989;;146:554-555.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.