Managing hallucinations and delusions in Parkinson's often starts with reviewing and adjusting current medications. Sometimes simply changing a dosage or timing can make a big difference. When medication adjustments aren't enough, a doctor may consider adding an antipsychotic. Here are some options that may be discussed:
- Show Full Answer
Managing hallucinations and delusions in Parkinson's often starts with reviewing and adjusting current medications. Sometimes simply changing a dosage or timing can make a big difference. When medication adjustments aren't enough, a doctor may consider adding an antipsychotic. Here are some options that may be discussed:
- Quetiapine (Seroquel) — sometimes prescribed off-label to help reduce hallucinations while trying to minimize effects on movement
- Clozapine (Clozaril) — another off-label option, though it comes with serious potential side effects and requires careful monitoring
- Pimavanserin (Nuplazid) — a newer medication that works differently by targeting serotonin rather than dopamine, which makes it a more promising option for people managing both hallucinations and motor symptoms
It's worth noting that many traditional antipsychotics can actually worsen movement problems, so the options above are generally preferred for Parkinson's-related psychosis. Every medication comes with its own set of benefits and risks. Reducing or stopping a drug could also affect motor symptoms. A neurologist is the best person to help weigh those trade-offs and find the right balance for individual needs.
June 11
Continue with Facebook
Continue with Email
Join
Your Privacy Choices
