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Probable Case of Neuroleptic Malignant Syndrome Following Administration of Antituberculotic Drugs in a Chlorpromazine-Treated Patient
Journal of Korean Medical Science ; : 734-736, 2008.
Artículo en Inglés | WPRIM | ID: wpr-123474
ABSTRACT
Neuroleptic malignant syndrome (NMS), a potentially fatal adverse reaction to neuroleptics, is known to occur more often in the initial stage of antipsychotic treatment. We describe a patient with chronic schizophrenia who, in a few days after the addition of antituberculotic drugs to his antipsychotic regimen, developed probable NMS without pyrexia. We reasoned that rifampin, a strong hepatic enzyme inducer, decreased the plasma chlorpromazine concentration of the patient, with the result of cholinergic hyperactivity and finally, the symptoms of NMS. Therefore, physicians should be aware of drug interactions and the likelihood of NMS, and consider antipsychotic dose adjustment when prescribing drugs that may influence pharmacokinetic properties of antipsychotics in a patient with schizophrenia receiving long-term antipsychotic treatment.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Rifampin / Esquizofrenia / Clorpromazina / Inducción Enzimática / Creatina Quinasa / Interacciones Farmacológicas / Síndrome Neuroléptico Maligno / Antituberculosos Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2008 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Rifampin / Esquizofrenia / Clorpromazina / Inducción Enzimática / Creatina Quinasa / Interacciones Farmacológicas / Síndrome Neuroléptico Maligno / Antituberculosos Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2008 Tipo del documento: Artículo