Psychosis Precipitated by Acetyl-L-Carnitine in a Patient With Bipolar Disorder

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Sir: Alternative and complementary medicine is popular in the United States, and interest in this type of medicine is growing. Approximately 55% of the U.S. population uses complementary and alternative medicines, at a cost of $337 million in 2001.1 Knaudt et al.2 found that 54% of outpatients with psychiatric conditions used alternative medicines in addition to conventional medicines to treat psychiatric symptoms.

Prim Care Companion J Clin Psychiatry 2007;9(1):71-72 [letter]