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Published on: January 22, 2016
Blonanserin treatment in patients with methamphetamine-induced psychosis comorbid with intellectual disabilities
Kosuke Okazaki1, Manabu Makinodan1, Kazuhiko Yamamuro1
1Department of Psychiatry, Nara Medical University School of Medicine, Kashihara, Japan.
Objective:
Methamphetamine (MA) use has recently been associated with high levels of psychiatric hospitalization and serious social dysfunction. MA use causes frequent psychotic symptoms, which can be treated with antipsychotics. However, people with intellectual disabilities (ID) are vulnerable to adverse effects resulting from treatment with antipsychotic medications.
Method:
We report two cases of MA-induced psychosis (MAP) in patients with ID who were treated with the antipsychotic blonanserin.
Results:
In both the cases presented, symptoms of psychosis were improved by switching medications from other antipsychotic drugs to blonanserin. Despite the presence of ID in these patients, no significant adverse effects, such as sedation, were detected after treatment with blonanserin.
Conclusion:
Blonanserin may be an effective and well-tolerated pharmacotherapeutical treatment for patients with MAP comorbid with ID. However, further work is necessary to validate this claim.
Insights
Blonanserin effectively treated methamphetamine-induced psychosis (MAP) in patients with intellectual disabilities (ID). This antipsychotic showed good tolerability, offering a potential treatment option for this vulnerable population.
Area of Science:
- Psychiatry
- Pharmacology
- Intellectual Disabilities
Background:
- Methamphetamine (MA) use is linked to severe psychiatric issues and social impairment.
- MA-induced psychosis (MAP) is common and treatable with antipsychotics.
- Individuals with intellectual disabilities (ID) face increased risks from antipsychotic side effects.
Purpose of the Study:
- To evaluate the efficacy and tolerability of blonanserin in patients with intellectual disabilities (ID) experiencing methamphetamine-induced psychosis (MAP).
Main Methods:
- Case study of two patients with ID and MAP.
- Treatment involved switching to the antipsychotic blonanserin.
Main Results:
- Blonanserin successfully improved psychotic symptoms in both cases.
- No significant adverse effects, including sedation, were observed despite the patients' ID.
Conclusions:
- Blonanserin shows promise as an effective and well-tolerated treatment for MAP in patients with comorbid ID.
- Further research is needed to confirm these findings and establish blonanserin's role in this patient group.
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