What Are the Treatment Options for Hallucinations and …

Treatment of Hallucinations and Delusions Caused by PD Medications STEP 1: Assessment and Plan

The treatment goal for each step throughout this process is to achieve a healthy balance between PD symptom control and management of hallucinations/delusions.

*It is important to be familiar with antipsychotic medications as many of them can cause worsening of motor symptoms and should not be prescribed for people with PD. Some of these medications, such as Haldol, are commonly prescribed in the hospital setting for patients who are agitated or anxious. If Haldol is prescribed, it should be given through an IV. This is the only form of Haldol that does not appear to worsen Parkinsonism. Notify all treating clinicians that older antipsychotics (those medications highlighted in red) should be avoided if possible.

*People with PD who suffer from mental health comorbidities should not be given amoxapine. If they are taking anMAO-Binhibitor for their PD, the current practice is to avoid concurrent tricyclic,SSRI, or SNRIantidepressants. There is some controversy on this point, and some neurologists and neuropsychs are comfortable prescribing an MAO-B inhibitor concurrently with antidepressants if done under their close supervision. For hallucinationsand delusions, PD patients shouldnt be on anyneurolepticsexcept for quetiapine or clozapine.

Page reviewed by Dr. Joash Lazarus, NPF Movement Disorders Fellow, Department of Neurology at Emory University School of Medicine.

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What Are the Treatment Options for Hallucinations and ...