Title:Case Report: Experience with Cariprazine in Organic Delusional
Disorder in an Elderly with Concomitant Somatic Pathology, Brief
Report
Volume: 20
Issue: 1
Author(s): Evgeny Darin*
Affiliation:
- Female Psychiatric Department No. 6, Specialized Neuropsychiatric Hospital of the Krasnodar
Region Ministry of Health, Zarechny, Krasnodar Region, Russia
Keywords:
Senior patients, paranoid disorders, antipsychotic agents, atypical antipsychotic, cariprazine, dopamine antagonist, case report.
Abstract:
Background: Organic disorder remains one of the most pressing issues in practical
psychiatry, especially a disorder dominated by persistent or recurrent delusions. The difficulty
for practitioners is often due to the older age of patients and the burden of concomitant therapeutic
diseases. Modern and potentially promising pharmacological drugs developed in recent
years include partial agonists of D2 and D3 receptors. Currently, there are insufficient publications
of studies on Cariprazine use in various disorders that are not associated with endogenous
pathology.
Case Presentation: The author presented the results of the patient’s clinical examination with a
complex of psychodiagnostic techniques, instrumental research methods, observation data in
the department, and an analysis of the patient’s medical history. The paper describes the experience
of treating a patient with the latest generation antipsychotic drug Cariprazine.
Results: The author presents a case report on Cariprazine therapy in a 71-year-old female patient
with a persistent organic delusional disorder with concomitant severe somatic illness.
Conclusion: Cariprazine showed good efficacy in this case. Delusional symptoms were significantly
reduced, and the author noted a reduction in negative symptoms. Mild side effects of
the drug quickly resolved in the course of treatment.
The key point is that the description of this case may be relevant to justify the need for further
clinical studies on Cariprazine. Further clinical studies of the drug in the treatment of various
mental pathologies may be in demand by specialists around the world.
