Diagnosis and Management of Delusional Parasitosis

Delusional parasitosis can be effectively managed with second generation antipsychotic agents. Extrapyramidal and metabolic side effects are major limiting factors in the choice of therapy.Based on the published data on efficacy, incidence of side effects and attributable risk, risperidone (.5-4mg/day) is a reasonable first-line choice for pharmacotherapy.

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