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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2008-01-01
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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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issn | 1177-3928 |
language | English |
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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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