Powered by OpenAIRE graph
Found an issue? Give us feedback
ZENODOarrow_drop_down
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
versions View all 2 versions
addClaim

This Research product is the result of merged Research products in OpenAIRE.

You have already added 0 works in your ORCID record related to the merged Research product.

Drug-Drug Synergism: A Case of Risperidone-Valproic Acid Induced Parkinsonism

Authors: Keziah Elizabeth Dona, Shaiju S. Dharan, Arya M. S.;

Drug-Drug Synergism: A Case of Risperidone-Valproic Acid Induced Parkinsonism

Abstract

Parkinsonism is a clinical syndrome characterised by tremor, bradykinesia, rigidity and postural instability. While commonly associated with idiopathic Parkinson’s disease, drug-induced Parkinsonism is a notable adverse effect of certain medications, including antipsychotics like risperidone and antiepileptic drugs like valproic acid. The case report focuses on a 59-year-old female with schizophrenia and bipolar disorder who developed drug-induced parkinsonism after being treated with risperidone (4 mg/day) and valproic acid (290 mg/day). The patient presented with tremors, rigidity, bradykinesia, and a shuffling gait, symptoms resembling those of Parkinson's disease. A thorough evaluation confirmed the onset of parkinsonism, likely resulting from the synergistic interaction between the two medications. Risperidone is a second-generation antipsychotic used in the treatment of Schizophrenia, Bipolar Disorder, and irritability in autism disorder. Valproic acid is an antiepileptic drug used in the management of seizure and as a mood stabiliser. Risperidone, a dopamine D2 receptor antagonist, can reduce dopaminergic activity in the brain, leading to motor dysfunction. Valproic acid, while primarily used as an anticonvulsant and mood stabilizer, has been associated with an increased risk of extrapyramidal side effects. Concurrent use of these drugs may synergistically increase the risk of Parkinsonism, especially in elderly patients or those with comorbidities by altering the dopamine metabolism. After discontinuation of risperidone, the patient's symptoms improved significantly, with partial resolution of motor signs. However, mild residual tremor persisted, likely due to the lasting effects of valproic acid.

Keywords

Risperidone, Valproic acid, Parkinsonism, Drug-induced extrapyramidal symptoms, Dopaminergic dysfunction

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!