Psychosis After Switch in Opioid Maintenance Agonist and Risperidone-Induced Pisa Syndrome: Two Critical Incidents in Dual Diagnosis Treatment. Sutter, M., Walter, M., Dürsteler, K. M., Strasser, J., & Vogel, M. Journal of Dual Diagnosis, 13(2):157–165, June, 2017. doi abstract bibtex BACKGROUND AND AIMS: Dual diagnosis commonly occurs among patients with an opioid use disorder. Treatment is ideally performed in an integrated fashion. We present a case that illustrates the complex and challenging psychiatric and medical therapy of such patients in the light of the literature. CASE DESCRIPTION: We report on a 56-year-old patient with schizophrenia and opioid dependence who experienced both risperidone-induced Pisa syndrome and, 3 years later, acute psychosis after switching the opioid substitution medication from methadone to slow-release oral morphine due to QT prolongation. CONCLUSIONS: With the current availability of a diversity of substitution opioids in Switzerland (methadone, buprenorphine, diacetylmorphine, sustained-release oral morphine), studies on differential effectiveness of these agents in opioid-dependent subpopulations with selective comorbidity profiles are desirable. The same is true for further investigation of the involvement of the opioid receptor system in schizophrenia. In clinical practice, any alteration of opioid medication in patients with dual diagnosis and a history of schizophrenia should be accompanied by close observation for psychotic symptoms.
@article{sutter_psychosis_2017,
title = {Psychosis {After} {Switch} in {Opioid} {Maintenance} {Agonist} and {Risperidone}-{Induced} {Pisa} {Syndrome}: {Two} {Critical} {Incidents} in {Dual} {Diagnosis} {Treatment}},
volume = {13},
issn = {1550-4271},
shorttitle = {Psychosis {After} {Switch} in {Opioid} {Maintenance} {Agonist} and {Risperidone}-{Induced} {Pisa} {Syndrome}},
doi = {10.1080/15504263.2016.1269224},
abstract = {BACKGROUND AND AIMS: Dual diagnosis commonly occurs among patients with an opioid use disorder. Treatment is ideally performed in an integrated fashion. We present a case that illustrates the complex and challenging psychiatric and medical therapy of such patients in the light of the literature.
CASE DESCRIPTION: We report on a 56-year-old patient with schizophrenia and opioid dependence who experienced both risperidone-induced Pisa syndrome and, 3 years later, acute psychosis after switching the opioid substitution medication from methadone to slow-release oral morphine due to QT prolongation.
CONCLUSIONS: With the current availability of a diversity of substitution opioids in Switzerland (methadone, buprenorphine, diacetylmorphine, sustained-release oral morphine), studies on differential effectiveness of these agents in opioid-dependent subpopulations with selective comorbidity profiles are desirable. The same is true for further investigation of the involvement of the opioid receptor system in schizophrenia. In clinical practice, any alteration of opioid medication in patients with dual diagnosis and a history of schizophrenia should be accompanied by close observation for psychotic symptoms.},
language = {eng},
number = {2},
journal = {Journal of Dual Diagnosis},
author = {Sutter, Manuel and Walter, Marc and Dürsteler, Kenneth M. and Strasser, Johannes and Vogel, Marc},
month = jun,
year = {2017},
pmid = {27935442},
keywords = {Administration, Oral, Analgesics, Opioid, Antipsychotic Agents, Delayed-Action Preparations, Diagnosis, Dual (Psychiatry), Drug Substitution, Dystonia, Female, Humans, Long QT Syndrome, Methadone, Middle Aged, Morphine, Opiate Substitution Treatment, Opioid-Related Disorders, Pisa syndrome, Psychoses, Substance-Induced, QT prolongation, Risperidone, Schizophrenia, Syndrome, comorbidity, methadone, opioid maintenance treatment, opioid use disorder, risperidone, slow release morphine, substance use disorder},
pages = {157--165},
}
Downloads: 0
{"_id":"GJREY5QmiqTjnTdKq","bibbaseid":"sutter-walter-drsteler-strasser-vogel-psychosisafterswitchinopioidmaintenanceagonistandrisperidoneinducedpisasyndrometwocriticalincidentsindualdiagnosistreatment-2017","downloads":0,"creationDate":"2018-07-09T19:16:01.781Z","title":"Psychosis After Switch in Opioid Maintenance Agonist and Risperidone-Induced Pisa Syndrome: Two Critical Incidents in Dual Diagnosis Treatment","author_short":["Sutter, M.","Walter, M.","Dürsteler, K. M.","Strasser, J.","Vogel, M."],"year":2017,"bibtype":"article","biburl":"https://bibbase.org/zotero/CECTC","bibdata":{"bibtype":"article","type":"article","title":"Psychosis After Switch in Opioid Maintenance Agonist and Risperidone-Induced Pisa Syndrome: Two Critical Incidents in Dual Diagnosis Treatment","volume":"13","issn":"1550-4271","shorttitle":"Psychosis After Switch in Opioid Maintenance Agonist and Risperidone-Induced Pisa Syndrome","doi":"10.1080/15504263.2016.1269224","abstract":"BACKGROUND AND AIMS: Dual diagnosis commonly occurs among patients with an opioid use disorder. Treatment is ideally performed in an integrated fashion. We present a case that illustrates the complex and challenging psychiatric and medical therapy of such patients in the light of the literature. CASE DESCRIPTION: We report on a 56-year-old patient with schizophrenia and opioid dependence who experienced both risperidone-induced Pisa syndrome and, 3 years later, acute psychosis after switching the opioid substitution medication from methadone to slow-release oral morphine due to QT prolongation. CONCLUSIONS: With the current availability of a diversity of substitution opioids in Switzerland (methadone, buprenorphine, diacetylmorphine, sustained-release oral morphine), studies on differential effectiveness of these agents in opioid-dependent subpopulations with selective comorbidity profiles are desirable. The same is true for further investigation of the involvement of the opioid receptor system in schizophrenia. In clinical practice, any alteration of opioid medication in patients with dual diagnosis and a history of schizophrenia should be accompanied by close observation for psychotic symptoms.","language":"eng","number":"2","journal":"Journal of Dual Diagnosis","author":[{"propositions":[],"lastnames":["Sutter"],"firstnames":["Manuel"],"suffixes":[]},{"propositions":[],"lastnames":["Walter"],"firstnames":["Marc"],"suffixes":[]},{"propositions":[],"lastnames":["Dürsteler"],"firstnames":["Kenneth","M."],"suffixes":[]},{"propositions":[],"lastnames":["Strasser"],"firstnames":["Johannes"],"suffixes":[]},{"propositions":[],"lastnames":["Vogel"],"firstnames":["Marc"],"suffixes":[]}],"month":"June","year":"2017","pmid":"27935442","keywords":"Administration, Oral, Analgesics, Opioid, Antipsychotic Agents, Delayed-Action Preparations, Diagnosis, Dual (Psychiatry), Drug Substitution, Dystonia, Female, Humans, Long QT Syndrome, Methadone, Middle Aged, Morphine, Opiate Substitution Treatment, Opioid-Related Disorders, Pisa syndrome, Psychoses, Substance-Induced, QT prolongation, Risperidone, Schizophrenia, Syndrome, comorbidity, methadone, opioid maintenance treatment, opioid use disorder, risperidone, slow release morphine, substance use disorder","pages":"157–165","bibtex":"@article{sutter_psychosis_2017,\n\ttitle = {Psychosis {After} {Switch} in {Opioid} {Maintenance} {Agonist} and {Risperidone}-{Induced} {Pisa} {Syndrome}: {Two} {Critical} {Incidents} in {Dual} {Diagnosis} {Treatment}},\n\tvolume = {13},\n\tissn = {1550-4271},\n\tshorttitle = {Psychosis {After} {Switch} in {Opioid} {Maintenance} {Agonist} and {Risperidone}-{Induced} {Pisa} {Syndrome}},\n\tdoi = {10.1080/15504263.2016.1269224},\n\tabstract = {BACKGROUND AND AIMS: Dual diagnosis commonly occurs among patients with an opioid use disorder. Treatment is ideally performed in an integrated fashion. We present a case that illustrates the complex and challenging psychiatric and medical therapy of such patients in the light of the literature.\nCASE DESCRIPTION: We report on a 56-year-old patient with schizophrenia and opioid dependence who experienced both risperidone-induced Pisa syndrome and, 3 years later, acute psychosis after switching the opioid substitution medication from methadone to slow-release oral morphine due to QT prolongation.\nCONCLUSIONS: With the current availability of a diversity of substitution opioids in Switzerland (methadone, buprenorphine, diacetylmorphine, sustained-release oral morphine), studies on differential effectiveness of these agents in opioid-dependent subpopulations with selective comorbidity profiles are desirable. The same is true for further investigation of the involvement of the opioid receptor system in schizophrenia. In clinical practice, any alteration of opioid medication in patients with dual diagnosis and a history of schizophrenia should be accompanied by close observation for psychotic symptoms.},\n\tlanguage = {eng},\n\tnumber = {2},\n\tjournal = {Journal of Dual Diagnosis},\n\tauthor = {Sutter, Manuel and Walter, Marc and Dürsteler, Kenneth M. and Strasser, Johannes and Vogel, Marc},\n\tmonth = jun,\n\tyear = {2017},\n\tpmid = {27935442},\n\tkeywords = {Administration, Oral, Analgesics, Opioid, Antipsychotic Agents, Delayed-Action Preparations, Diagnosis, Dual (Psychiatry), Drug Substitution, Dystonia, Female, Humans, Long QT Syndrome, Methadone, Middle Aged, Morphine, Opiate Substitution Treatment, Opioid-Related Disorders, Pisa syndrome, Psychoses, Substance-Induced, QT prolongation, Risperidone, Schizophrenia, Syndrome, comorbidity, methadone, opioid maintenance treatment, opioid use disorder, risperidone, slow release morphine, substance use disorder},\n\tpages = {157--165},\n}\n\n","author_short":["Sutter, M.","Walter, M.","Dürsteler, K. M.","Strasser, J.","Vogel, M."],"key":"sutter_psychosis_2017","id":"sutter_psychosis_2017","bibbaseid":"sutter-walter-drsteler-strasser-vogel-psychosisafterswitchinopioidmaintenanceagonistandrisperidoneinducedpisasyndrometwocriticalincidentsindualdiagnosistreatment-2017","role":"author","urls":{},"keyword":["Administration","Oral","Analgesics","Opioid","Antipsychotic Agents","Delayed-Action Preparations","Diagnosis","Dual (Psychiatry)","Drug Substitution","Dystonia","Female","Humans","Long QT Syndrome","Methadone","Middle Aged","Morphine","Opiate Substitution Treatment","Opioid-Related Disorders","Pisa syndrome","Psychoses","Substance-Induced","QT prolongation","Risperidone","Schizophrenia","Syndrome","comorbidity","methadone","opioid maintenance treatment","opioid use disorder","risperidone","slow release morphine","substance use disorder"],"metadata":{"authorlinks":{}},"html":""},"search_terms":["psychosis","switch","opioid","maintenance","agonist","risperidone","induced","pisa","syndrome","two","critical","incidents","dual","diagnosis","treatment","sutter","walter","dürsteler","strasser","vogel"],"keywords":["administration","oral","analgesics","opioid","antipsychotic agents","delayed-action preparations","diagnosis","dual (psychiatry)","drug substitution","dystonia","female","humans","long qt syndrome","methadone","middle aged","morphine","opiate substitution treatment","opioid-related disorders","pisa syndrome","psychoses","substance-induced","qt prolongation","risperidone","schizophrenia","syndrome","comorbidity","methadone","opioid maintenance treatment","opioid use disorder","risperidone","slow release morphine","substance use disorder"],"authorIDs":[],"dataSources":["WJssAw9LjPNgXmhEE"]}