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10/13/2026 9:29:21 AM | Browse: 1 | Download: 0
Publication Name World Journal of Clinical Cases
Manuscript ID 128223
Country Japan
Received
2026-09-17 03:39
Peer-Review Started
2026-09-17 03:40
First Decision by Editorial Office Director
Return for Revision
2026-09-29 06:32
Revised
2026-09-30 00:20
Publication Fee Transferred
Second Decision by Editor
2026-10-10 08:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-10 09:01
Articles in Press
2026-10-10 09:01
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-12 05:40
Publish the Manuscript Online
2026-10-13 09:29
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Case Report
Article Title Suspected donepezil withdrawal syndrome in an older woman with Alzheimer disease of abrupt cessation: A case report
Manuscript Source Invited Manuscript
All Author List Takahiko Nagamine
ORCID
Author(s) ORCID Number
Takahiko Nagamine http://orcid.org/0000-0002-0690-6271
Funding Agency and Grant Number
Corresponding Author Takahiko Nagamine, Department of Psychiatric Internal Medicine, Sunlight Brain Research Center, 4-13-18 Jiyugaoka, Hofu 7470066, Yamaguchi, Japan. anagamine@yahoo.co.jp
Key Words Donepezil; Withdrawal syndrome; Delirium; Behavioral and psychological symptoms of dementia; Nursing-home admission; Older adults; Case report
Core Tip Abrupt discontinuation of long-term donepezil was followed 48 hours later by agitation, insomnia and gait instability in an 89-year-old woman who had taken 10 mg/day for more than five years. Symptoms improved after rechallenge with 5 mg/day, but interpretation is limited by pre-existing cognitive decline, nursing-home relocation, concomitant quetiapine and other unmeasured factors. The case illustrates why suspected withdrawal may be considered in the differential diagnosis without assuming that all post-discontinuation deterioration is drug-related.
Publish Date 2026-10-13 09:29
Citation

Nagamine T. Suspected donepezil withdrawal syndrome in an older woman with Alzheimer disease of abrupt cessation: A case report. World J Clin Cases 2026; 14(27): 128223

URL https://www.wjgnet.com/2307-8960/full/v14/i27/128223.htm
DOI https://doi.org/10.12998/wjcc.128223
Full Article (PDF) WJCC-14-128223-with-cover.pdf
CARE Checklist–2016 128223-CARE-Checklist-2016.pdf
Manuscript File 128223_Auto_Edited_020050.docx
Answering Reviewers 128223-answering-reviewers.pdf
Audio Core Tip 128223-audio.mp3
Conflict-of-Interest Disclosure Form 128223-conflict-of-interest-statement.pdf
Copyright License Agreement 128223-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 128223-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 128223-non-native-speakers.pdf
Peer-review Report 128223-peer-reviews.pdf
Scientific Misconduct Check 128223-scientific-misconduct-check.png
CrossCheck Report 128223-crosscheck-report.pdf