Mania with psychotic feature induced by the use of pramipexole in Parkinson's disease: A case report

Parkinson's disease (PD), which is frequently accompanied by psychiatric symptoms, is a neurodegenerative disease characterized by movement disorders. Psychiatric symptoms may be the direct result of PD, comorbid pathologies, or its pharmacotherapy. Pramipexole, as other dopamine agonists used in the treatment of PD, has a tendency to induce psychotic and manic symptoms due to central dopaminergic stimulation. Herein we present a PD patient that had mania with psychotic feature due to dopamine agonist treatment, which is not commonly reported.