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Title: Psychosis during chronic levodopa therapy triggered by the new antidepressive drug mirtazapine. Author: Normann C, Hesslinger B, Frauenknecht S, Berger M, Walden J. Journal: Pharmacopsychiatry; 1997 Nov; 30(6):263-5. PubMed ID: 9442549. Abstract: We report the case of a patient developing psychosis after the addition of mirtazapine, a novel antidepressant enhancing serotonergic neurotransmission, to a chronic levodopa regimen. There was complete and rapid recovery upon low-dose clozapine treatment. To our knowledge, this is the first published case of a mirtazapine-levodopa interaction and the second case report of a psychosis induced by a serotonergic antidepressant in a patient with Parkinson's disease (PD). This phenomenon might be due to a postsynaptic serotonin receptor supersensitization caused by low central serotonin levels in treated PD.[Abstract] [Full Text] [Related] [New Search]