Evidence map›Paper›PMID 42725013›Full record

ReviewClinical pharmacology : advances and applications2026

Treatment of Parkinson's Disease-Related Psychosis.

Natalia P Rocha, Karina Lucia Moreira Sassi, Erin Furr Stimming, Antonio L Teixeira

Abstract readReview
In one paragraph

Review in Clinical pharmacology : advances and applications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Natalia P RochaDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID 0000-0003-2616-8082
Karina Lucia Moreira SassiDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Erin Furr StimmingDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Antonio L TeixeiraThe Glenn Biggs Institute, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.ORCID 0000-0002-9621-5422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To provide an updated, clinically oriented overview of therapeutic strategies for Parkinson's disease-related psychosis (PDP), integrating current evidence on risk factors and available pharmacological and non-pharmacological treatments. Patients and Methods: This is a narrative, non-systematic review summarizing findings from targeted searches of PubMed, Embase, and Scopus, focusing on clinical trials, observational studies, consensus guidelines, and high-quality reviews addressing the epidemiology, pathophysiology, and management of PDP. Evidence was analyzed qualitatively, with emphasis on consistency of findings, clinical applicability, and areas of ongoing uncertainty. Results: PDP affects a substantial proportion of individuals with Parkinson's disease and is associated with cognitive decline, increased caregiver burden, higher rates of institutionalization, and elevated mortality. Management begins with the identification of reversible triggers, environmental optimization, and rational adjustment of antiparkinsonian medications. When antipsychotic therapy is required, pimavanserin and clozapine demonstrate the strongest evidence for efficacy. However, pimavanserin availability remains limited and long-term data are scarce. Quetiapine is widely used despite inconsistent evidence from randomized trials, largely due to its favorable safety profile and ease of use. Acetylcholinesterase inhibitors may provide benefit in selected patients, particularly those with concomitant cognitive impairment. Conclusion: Current therapeutic strategies allow symptom control in many patients, yet important gaps in the evidence base persist, particularly regarding long-term outcomes. Future research should prioritize mechanistically informed therapies, standardized outcome measures, and the identification of predictors of treatment response.

Indexed as

antipsychoticsclozapinedelusionhallucinationpimavanserinquetiapine

Identifiers

PMID42725013
PMCPMC13559879

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.