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Othello syndrome secondary to ropinirole: a case study
Kakali Pal1, Abigail Smith, Joseph Hayes
1Highgate Mental Health Centre, Camden and Islington NHS Foundation, Dartmouth Park Hill, London N19 5NX, UK.
Case Reports in Psychiatry
|September 7, 2012
Summary
A man developed Othello Syndrome, a form of delusional jealousy, linked to ropinirole medication for Parkinson's disease. Reducing the ropinirole dosage successfully resolved these psychiatric symptoms.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Parkinson's disease is a neurodegenerative disorder often treated with dopamine receptor agonists.
- Ropinirole is a dopamine agonist frequently prescribed for Parkinson's disease symptoms.
Observation:
- A 42-year-old male patient with no prior psychiatric history presented with new-onset delusional jealousy.
- The patient was undergoing treatment for Parkinson's disease with ropinirole.
Findings:
- The patient's delusional jealousy was directly associated with ropinirole therapy.
- A reduction in the ropinirole dosage led to the complete resolution of the delusional symptoms.
Implications:
- This case highlights a potential psychiatric side effect of ropinirole, specifically Othello Syndrome.
- Clinicians should consider medication-induced psychiatric disturbances in patients on dopamine agonists.
- Dose adjustment of dopaminergic agents may effectively manage drug-induced delusional jealousy.
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