Update on psychotropic medication used concurrently with transcranial magnetic stimulation
Yvonne Turnier-Shea1, Marzena Rybak1, Phil Reid1, Saxby Pridmore1,2

Abstract Background:
Rapid Transcranial Magnetic Stimulation (rTMS) Is A New Technology Which Holds Promise As A Treatment In Psychiatry. An
Electromagnet Applied To The Scalp Is Used To Cause Depolarisation Of Cortical Cells. There Has Been Concern That Concurrent
Psychotropic Medications, Which Lower Seizure Threshold, May Increase The Risk Of Seizure During RTMS Treatment.

To Examine The Incidence Of Headache And Seizure Among Patients Concurrently Treated With Psychotropic Medication And RTMS At
Our Hospital. Results. 82 Patients Received 986 Treatments. 14 Patients Were Receiving Both An Antidepressant And An Antipsychotic
Medication. There Were No Seizures. 24% Experienced Headache On Some Occasion During Treatment, And 10% Took A Mild
Analgesic For Headache On Some Occasion During Treatment.

Hile Caution Is Still Necessary, This Study Shows That It Is Possible To Provide RTMS To Patients Receiving Antidepressants And
Antipsychotic Medications Without Causing Seizure.(German J Psychiatry 1999; 2: 46-59)

Key Words:
Transcranial Magnetic Stimulation, Seizures Received: 16.9.99 Published: 15.10.99




em Psiquiatría