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contributing.",[215],{"type":216,"data":217},"free_text",{"readDurationInSeconds":218,"title":219,"text":220},38.66666666666667,"Pop Quiz: Jun 6, 2024","\u003Cp>\u003Cspan>For patients with medication-induced psychosis while on CSAI, the first step in treatment is to eliminate medications that may be contributing to this. \u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cem>\u003Cstrong>Which of the following is the recommended order for tapering these medications? \u003C\u002Fstrong>\u003C\u002Fem>\u003Cbr>\u003Cbr>\u003Cspan>a. Amantadine, trihexyphenidyl, istradefylline, rotigotine\u003C\u002Fspan>\u003Cbr>\u003Cspan>b. Trihexyphenidyl, rotigotine, istradefylline, amantadine\u003C\u002Fspan>\u003Cbr>\u003Cem>\u003Cspan>\u003Cstrong>c. Trihexyphenidyl, amantadine, istradefylline, rotigotine\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fem>\u003Cbr>\u003Cspan>d. Rotigotine, trihexyphenidyl, amantadine, istradefylline  \u003C\u002Fspan>\u003Cbr>\u003Cspan>e. Trihexyphenidyl, istradefylline, rotigotine, istradefylline\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cem>\u003Cstrong>Explanation:\u003C\u002Fstrong>\u003C\u002Fem> Trihexyphenidyl, amantadine, istradefylline, followed by rotigotine is the correct order. There are many Parkinson’s disease medications that can cause or contribute to psychosis as patients advance through their disease. Of these, anticholinergic medications, like trihexyphenidyl, are the worst offenders. 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