{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:13:45Z","timestamp":1783350825353,"version":"3.54.6"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,6,12]],"date-time":"2013-06-12T00:00:00Z","timestamp":1370995200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan, indications for opioid analgesics, once exclusively used as pain killers for patients suffering from malignant cancer, have been expanded for a wide range of pain. Herein we report a patient with opioid\u2010induced delirium associated with the administration of buprenorphine patches that was well below the indicated therapeutic range limit. An 82\u2010year\u2010old woman was referred to us from an orthopaedic practitioner for uncontrollable behavioural problems apparently caused by the beginning of dementia; the patient had gradually developed disorientation, visual hallucinations, and delusions. Laboratory and imaging findings excluded common causes of delirium including <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer's disease and diffuse <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewy body disease. Detailed questioning revealed that the patient's confused state appeared following a buprenorphine patch dose increase and subsequently disappeared after administration was stopped. Delirium has not been reported as a side\u2010effect in clinical trials of buprenorphine patches. However, our findings in this case show that even topical opioids can precipitate the development of a delirious state in elderly patients.<\/jats:p>","DOI":"10.1111\/psyg.12007","type":"journal-article","created":{"date-parts":[[2013,6,12]],"date-time":"2013-06-12T07:49:48Z","timestamp":1371023388000},"page":"118-123","source":"Crossref","is-referenced-by-count":10,"title":["A case of topical opioid\u2010induced delirium mistaken as behavioural and psychological symptoms of dementia in demented state"],"prefix":"10.1111","volume":"13","author":[{"given":"Go","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Psychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kousuke","family":"Kanemoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2008\/11\/S133"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0013628"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2010.00881.x"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2011\/14\/91"},{"key":"e_1_2_4_6_1","unstructured":"Interview form of Norspan\u00ae. Available from URL:http:\/\/www.info.pmda.go.jp\/go\/pack\/1149704S1020_1_02\/."},{"key":"e_1_2_4_7_1","unstructured":"Interview form of Tramcet\u00ae. Available from URL:http:\/\/www.info.pmda.go.jp\/go\/pack\/1149117F1020_1_06\/."},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/03602530902722679"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022164"}],"container-title":["Psychogeriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpsyg.12007","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psyg.12007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T04:12:13Z","timestamp":1700626333000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psyg.12007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1111\/psyg.12007"],"URL":"https:\/\/doi.org\/10.1111\/psyg.12007","archive":["Portico"],"relation":{},"ISSN":["1346-3500","1479-8301"],"issn-type":[{"value":"1346-3500","type":"print"},{"value":"1479-8301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6]]}}}