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. 2022 Mar 30;5(1):e34323. doi: 10.2196/34323

Table 3.

Summary of pharmacological treatments for primary delusional infestation.

Drug Dose (mg/d) Total number of patients, N Duration, months Outcomes




Complete remission, n (%) Partial remission, n (%) No response,
n (%)
Nonadherence, n (%)
First-generation antipsychotics (n=8)

Total a 117 0.75-14 56 (47.9) 41 (35.0) 20 (17.1) 0 (0)

Pimozide 2-8 80 3-14 35 (44) 27 (34) 18 (23) 0 (0)

Haloperidol 1-10 10 0.75-14 6 (60) 4 (40) 0 (0) 0 (0)

Fluphenazine depot 7.5-25 10 3-12 7 (70) 3 (30) 0 (0) 0 (0)

Trifluoperazine 10, 15 6 0.75-2 3 (50) 2 (33) 1 (17) 0 (0)

Flupentixol depot 2-20 5 3-12 4 (80) 0 (0) 1 (20) 0 (0)

Chlorpromazine 150, 300 3 0.75-2 0 (0) 3 (100) 0 (0) 0 (0)

Perphenazine 4,12 2 1 (50) 1 (50) 0 (0) 0 (0)

Zuclopenthixol 6 1 0 (0) 1 (100) 0 (0) 0 (0)
Second-generation antipsychotics (n=9)

Total 103 3-24 56 (54.4) 36 (35.0) 8 (7.8) 3 (2.9)

Risperidone 0.5-4 44 3-24 19 (43) 18 (41) 5 (11) 2 (5)

Olanzapine 2.5-10 22 3-24 12 (55) 9 (41) 1 (5) 0 (0)

Aripiprazole 10-15 14 3-24 11 (79) 2 (14) 0 (0) 1 (7)

Quetiapine 100, 400 7 6-24 4 (57) 3 (43) 0 (0) 0 (0)

Amisulpride 7 6-24 3 (43) 3 (43) 1 (14) 0 (0)

Paliperidone 5 6-24 4 (80) 1 (20) 0 (0) 0 (0)

Iloperidone 2 6-24 2 (100) 0 (0) 0 (0) 0 (0)

Melperone 50 1 1 (100) 0 (0) 0 (0) 0 (0)

Sulpiride 1 0 (0) 0 (0) 1 (100) 0 (0)
Selective serotonin reuptake inhibitors (n=2)

Total 21 6-24 12 (57) 9 (43) 0 (0) 0 (0)

Fluoxetine 20 11 6-24 9 (82) 2 (18) 0 (0) 0 (0)

Citalopram 10 3 (30) 7 (70) 0 (0) 0 (0)

aEm dashes indicate “not reported”.