TY - JOUR
AR - GGR-2020-1-106
TI - Maintenance Electroconvulsive Therapy Meeting Unmet Needs of Antipsychotics in Older Patients: A Case Report
AU - Ishwary , Damodaran
AU - Lee Wen , Pei
AU - Sharmilla, Kanagasundram
AU - Tan Chow , Hock
JO - Gerontology and Geriatric Research
PY - 2020
DA - Fri 15, May 2020
SN - 2733-2292
DO - http://dx.doi.org/10.31487/j.GGR.2020.01.06
UR - https://www.sciencerepository.org/maintenance-electroconvulsive-therapy-meeting-unmet-needs-of-antipsychotics-in-older-patients_GGR-2020-1-106 
KW - Antipsychotics, unmet needs, maintenance ECT, elderly, schizophrenia
AB - This case report highlights problems encountered by psychiatrists when treating a 68-year-old female patient
who presented with a first episode of psychosis. She suffered from constipation, an anticholinergic side
effect of quetiapine and both anticholinergic and extrapyramidal side effects of olanzapine. Finally, she was
able to tolerate a combination of two pharmacologically different antipsychotics namely olanzapine and
aripiprazole combined with a course of ECT followed by maintenance ECT. The authors would like to
highlight maintenance ECT as part of the solution to patients who find it difficult to tolerate antipsychotics.
Especially when only low doses of antipsychotics can be tolerated by the patient.