Psychosis Related to Ropinirole
Ms. A was a 44-year-old woman with a family history of schizophrenia and a 1-year history of depression who was admitted to the hospital with acute psychotic symptoms, including paranoid delusions, disorganized thoughts, and auditory and visual hallucinations. Her affect was blunted. She had been given a prescription for ropinirole 1 week before admission for restless legs syndrome. Upon admission, the ropinirole was discontinued. Quetiapine and citalopram were prescribed. Within 3 days, Ms. A’s paranoia had improved. Her thought process had become more organized and logical, and her affect had brightened. Her sleep ranged from 7 to 9 hours throughout the hospitalization. She improved steadily each day until her discharge 6 days after admission.
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