Extrapyramidal symptoms and antidepressant drugs: neuropharmacological aspects of a frequent interaction in the elderly
Abstract
Depression is the most prevalent functional psychiatric disorder in late life. The problem of motor disorders associated with antidepressant use is relevant in the elderly. Elderly people are physically more frail and more likely to be suffering from physical illness, and any drug given may exacerbate pre-existing diseases, or interact with other drug treatments being administered for physical conditions. Antidepressants have been reported to induce extrapyramidal symptoms, including parkinsonism. These observations prompted us to review the neurobiological mechanism that may be involved in this complex interplay including neurotransmitters and neuronal circuits involved in movement and emotion control and their changes related to aging and disease. The study of the correlations between motor and mood disorders and their putative biochemical bases, as presented in this review, provide a rationale either to understand or to foresee motor side effects for psychotropic drugs, in particular antidepressants.
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For those who do receive treatment for psychiatric symptoms in dystonia, treatment is often pharmacological, with many currently available treatments adversely affecting the underlying movement disorder.
“for those who do receive treatment, this is often pharmacological, with many of the currently available treatments adversely affecting the underlying movement disorder [9].”
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- Authors
- Govoni, S., Racchi, M., Masoero, E., Zamboni, M., & Ferini-Strambi, L.
- Affiliations
- University of Pavia (IT)
- IRCCS Ospedale San Raffaele (IT)
- Corresponding author
- Govoni, S
- Venue
- Molecular Psychiatry
- Published
- 2001-03-01
- Volume
- 6
- Issue
- 2
- Pages
- 134-142
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- OpenAlex
- W2312829777
- Cited by
- 35
- References
- 75
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- extrapyramidal symptoms, antidepressants, older adults, parkinsonism, motor side effects, psychotropic drugs, neurotransmitters, neural circuits, aging, drug interactions
- MeSH terms
- Aged, Antidepressive Agents, Basal Ganglia Diseases, Depression, Drug Interactions, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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