Recently, Aw et al1 presented a valuable case series of patients from Singapore suffering from delusional parasitosis (DP). The authors highlighted the superiority of atypical antipsychotics (AA) over traditional substances in the treatment of DP based on their better overall tolerability, e.g., less extrapyramidal symptoms. Furthermore, they pointed to the higher potential of traditional antipsychotics like pimozide, the standard substance for treating DP, to cause a prolongation of the QTc interval which may lead to fatal ventricular arrhythmia. Herewith, we would like to add some remarks on the use of newer, second-generation AAs in DP.
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