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Pisa syndrome due to donepezil: pharmacokinetic interactions to blame?
Author(s) -
David Pollock,
Emma Cunningham,
Bernadette McGuinness,
Anthony Peter Passmore
Publication year - 2016
Publication title -
age and ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.014
H-Index - 143
eISSN - 1468-2834
pISSN - 0002-0729
DOI - 10.1093/ageing/afw253
Subject(s) - donepezil , medicine , acetylcholinesterase inhibitor , pharmacokinetics , acetylcholinesterase , intensive care medicine , dementia , pharmacology , disease , biochemistry , chemistry , enzyme
We report a case of Pisa syndrome (PS) due to the acetylcholinesterase inhibitor donepezil which may have been precipitated by pharmacokinetic interactions with commonly used medications. PS is defined as a reversible lateral bending of the trunk with a tendency to lean to one side. This is a rare but very distressing complication with this commonly used medication which was not initially recognised, leading to increasing disability for the patient and significant carer stress. Cessation of donepezil and modulation of potential interacting medications resulted in complete resolution.

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