LSD-Like Panic From Risperidone in Post-LSD Visual Disorder
- 1 June 1996
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Clinical Psychopharmacology
- Vol. 16 (3) , 238-241
- https://doi.org/10.1097/00004714-199606000-00008
Abstract
Risperidone, a novel antipsychotic agent, is an antagonist of postsynaptic serotonin-2 and dopamine D2 receptors. In certain individuals, the hallucinogenic drug lysergic acid diethylamide (LSD) is associated with apparently lifelong continuous visual disturbances, characterized in DSM-IV as hallucinogen-persisting perception disorder (HPPD). Because the hallucinogenic mechanism of LSD is known to act in part at postsynaptic serotonin-2 receptors, it is noteworthy that three HPPD patients treated with risperidone reported an exacerbation of LSD-like panic and visual symptoms. We conclude that HPPD may be a relative contraindication for the use of risperidone.Keywords
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