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Correspondence
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Volume 341:456 August 5, 1999 Number 6
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Clozapine for Drug-Induced Psychosis in Parkinson's Disease

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 by The Parkinson Study Group
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To the Editor: The article by the Parkinson Study Group (March 11 issue)1 and the accompanying editorial by Cummings2 emphasize the potential benefits of clozapine for patients with psychosis resulting from medications used to treat Parkinson's disease. However, patients with Parkinson's disease may be at particular risk for one of the most serious complications of clozapine therapy: the neuroleptic malignant syndrome. Not mentioned in either the article or the editorial is the fact that the antipsychotic efficacy of clozapine in patients with schizophrenia is probably due in part to the glutamate-agonist activity of clozapine at N-methyl-d-aspartate receptors. The neuroleptic . . . [Full Text of this Article]

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