New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine

Atypical antipsychotics (AA) are commonly used to manage drug-induced psychosis (DIP) in parkinsonian patients. In the treatment of schizophrenia, AA’s have been associated with increasing reports of new-onset diabetes mellitus (DM). This study examined the risk of developing new-onset DM among park...

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Main Authors: Hubert H. Fernandez, Katie M. McCown, Janet Romrell, Martha E. Trieschmann, Joseph H. Friedman, Charles E. Jacobson IV, Michael S. Okun
Format: Article
Language:English
Published: AboutScience Srl 2008-01-01
Series:Drug Target Insights
Subjects:
Online Access:http://la-press.com/article.php?article_id=630
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author Hubert H. Fernandez
Katie M. McCown
Janet Romrell
Martha E. Trieschmann
Joseph H. Friedman
Charles E. Jacobson IV
Michael S. Okun
author_facet Hubert H. Fernandez
Katie M. McCown
Janet Romrell
Martha E. Trieschmann
Joseph H. Friedman
Charles E. Jacobson IV
Michael S. Okun
author_sort Hubert H. Fernandez
collection DOAJ
description Atypical antipsychotics (AA) are commonly used to manage drug-induced psychosis (DIP) in parkinsonian patients. In the treatment of schizophrenia, AA’s have been associated with increasing reports of new-onset diabetes mellitus (DM). This study examined the risk of developing new-onset DM among parkinsonian patients on long-term, low dose quetiapine. Fifty-three parkinsonian subjects (mean age: 71.3 years) taking an average quetiapine dose of 70.5 mg/day (range: 12.5–350 mg/day) for a mean duration of 21.3 months (range 3–61 months) were reviewed. Eight out of 53 subjects carried a diagnosis of DM prior to quetiapine treatment. Four out of 45 patients (8.9%) met criteria for new diagnosis of DM, giving a total prevalence rate of 22.6% (12 out of 53). This prevalence rate of 22.6% was slightly higher than that reported in the aged-matched general population (year 2003 DM prevalence = 17.3% for 65–74 years) but methodological differences could explain the difference. Larger epidemiologic studies will be needed to confirm these results as they could potentially impact a significant number of patients.
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spelling doaj.art-3f51886844d54f80b48fc0a32db217022022-12-21T19:11:01ZengAboutScience SrlDrug Target Insights1177-39282008-01-0132729New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term QuetiapineHubert H. FernandezKatie M. McCownJanet RomrellMartha E. TrieschmannJoseph H. FriedmanCharles E. Jacobson IVMichael S. OkunAtypical antipsychotics (AA) are commonly used to manage drug-induced psychosis (DIP) in parkinsonian patients. In the treatment of schizophrenia, AA’s have been associated with increasing reports of new-onset diabetes mellitus (DM). This study examined the risk of developing new-onset DM among parkinsonian patients on long-term, low dose quetiapine. Fifty-three parkinsonian subjects (mean age: 71.3 years) taking an average quetiapine dose of 70.5 mg/day (range: 12.5–350 mg/day) for a mean duration of 21.3 months (range 3–61 months) were reviewed. Eight out of 53 subjects carried a diagnosis of DM prior to quetiapine treatment. Four out of 45 patients (8.9%) met criteria for new diagnosis of DM, giving a total prevalence rate of 22.6% (12 out of 53). This prevalence rate of 22.6% was slightly higher than that reported in the aged-matched general population (year 2003 DM prevalence = 17.3% for 65–74 years) but methodological differences could explain the difference. Larger epidemiologic studies will be needed to confirm these results as they could potentially impact a significant number of patients.http://la-press.com/article.php?article_id=630quetiapinediabetesatypical antipsychoticparkinson’s disease
spellingShingle Hubert H. Fernandez
Katie M. McCown
Janet Romrell
Martha E. Trieschmann
Joseph H. Friedman
Charles E. Jacobson IV
Michael S. Okun
New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
Drug Target Insights
quetiapine
diabetes
atypical antipsychotic
parkinson’s disease
title New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
title_full New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
title_fullStr New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
title_full_unstemmed New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
title_short New-Onset Diabetes Mellitus Among Parkinsonian Patients Treated with Long-term Quetiapine
title_sort new onset diabetes mellitus among parkinsonian patients treated with long term quetiapine
topic quetiapine
diabetes
atypical antipsychotic
parkinson’s disease
url http://la-press.com/article.php?article_id=630
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