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letter
. 2012 Oct;2(5):199–205. doi: 10.1177/2045125312451270

Table 2.

Case reports on HPPD treatment.

Author (year) Drug Sample size Study design Major results
Abraham [1983] Benzodiazepines Phenothiazines 21 Observational study 8 of the 9 subjects receiving benzodiazepines reported a reduced intensity and frequency of visual disturbances, whereas 11 of 12 subjects receiving phenothiazines reported exacerbation of HPPD
Abraham and Mamen [1996] Risperidone 3 Case reports 3 patients with HPPD treated with risperidone reported an exacerbation of LSD-like panic and visual symptoms
Lerner et al. [1997] Naltrexone 2 Case reports Dramatic improvement with naltrexone (50 mg daily) was reported in two young men with LSD-induced HPPD. The remission was sustained as it was possible to discontinue the naltrexone after 2 months without precipitating a relapse
Lerner et al. [2000] Clonidine 8 Observational study 6 of the 8 subjects (2 dropped out) received clonidine (0.025 mg, three times a day) for 2 months which alleviated LSD-related HPPD
Lerner et al. [2001] Clonazepam 2 Case reports 2 outpatients with LSD-induced HPPD were successfully treated with clonazepam. They had not responded to low doses of classic antipsychotics or low-potency benzodiazepines
Lerner et al. [2002a] Reboxetine 1 Case report During a 6-month follow-up period on reboxetine (6mg/day) no exacerbations of visual disturbance were reported
Lerner et al. [2003] Clonazepam 16 Observational study 16 patients received clonazepam 2 mg/day for 2 months. Patients reported significant relief during clonazepam administration.This improvement persisted during a 6-month follow-up period
Espiard et al. [2005] Olanzapine Risperidone Sertraline 1 Case report A case of a young man presenting with HPPD after a mixed intoxication with psilocybin and cannabis. Olanzapine (5 mg) exacerbated symptoms and was replaced by risperidone (2 mg/day) and sertraline (150 mg/day). After 6 months of this treatment HPPD disappeared

HPPD, hallucinogen-persisting perception disorder; LSD, lysergic acid diethylamide.