Cited by 35Treatment of Major DepressionParkinson's Disease Mechanisms and TreatmentsNeurotransmitter Receptor Influence on Behavior

Extrapyramidal symptoms and antidepressant drugs: neuropharmacological aspects of a frequent interaction in the elderly

Govoni, S, Racchi, M, Masoero, E, Zamboni, M, Ferini-Strambi, L·2001·Molecular Psychiatry

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.

Integrity signals

Registry

Crossref · 10.1038/sj.mp.4000801

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72 of 72 references verified0 citation errors · 0 not checkable

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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

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