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The management of psychosis in Parkinson’s disease (PD) has been considered a 
great challenge for clinicians and there is a need for new pharmacological 
intervention. Previously an antipsychotic and neuroprotective effect of 
Cannabidiol (CBD) has been suggested. Therefore, the aim of the present study 
was to directly evaluate for the first time, the efficacy, tolerability and 
safety of CBD on PD patients with psychotic symptoms. This was an open-label 
pilot study. Six consecutive outpatients (four men and two women) with the 
diagnosis of PD and who had psychosis for at least 3 months were selected for 
the study. All patients received CBD in flexible dose (started with an oral 
dose of 150 mg/day) for 4 weeks, in addition to their usual therapy. The 
psychotic symptoms evaluated by the Brief Psychiatric Rating Scale and the 
Parkinson Psychosis Questionnaire showed a significant decrease under CBD 
treatment. CBD did not worsen the motor function and decreased the total 
scores of the Unified Parkinson’s Disease Rating Scale. No adverse effect was 
observed during the treatment. These preliminary data suggest that CBD may be 
effective, safe and well tolerated for the treatment of the psychosis in PD.

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