Diabetic ketoacidosis and clozapine.

نویسندگان

  • D Ai
  • T A Roper
  • J A Riley
چکیده

1 Ring J, Messmer K. Incidence and severity of anaphylactoid reactions to colloid volume substitutes. Lancet 1977;1:466-9. 2 Laxenaire MC, Charpentier C, Feldman L. [Anaphylactoid reactions to colloid plasma substitutes: incidence, risk factors, mechanisms. A French multicentre prospective study] (French). Ann FrAnesth Reanim 1994;13:301-10. 3 Watkins J, Wild G, Appleyard TN, Hardy G. Complement activation by polystarch and gelatin volume expanders. Lancet 1990;335:233. 4 Young K. Hypotension from the interaction ofACE inhibitors with stable plasma protein solution. (letter) Anaesthesia 1993;48:356.

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Stable monotherapy with clozapine or olanzapine increases the incidence of diabetes mellitus in people with schizophrenia.

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Diabetic ketoacidosis and severe hypertriglyceridaemia as a consequence of an atypical antipsychotic agent.

The atypical antipsychotic agent clozapine, although an effective treatment for schizophrenia, is linked with metabolic adverse effects. We report a case of diabetic ketoacidosis and very severe hypertriglyceridaemia associated with clozapine use, in a patient with type 2 diabetes mellitus, who was successfully treated with continuous insulin infusion and fluids. As clozapine proved to be the m...

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Diabetes mellitus associated with atypical antipsychotic medications: new case report and review of the literature.

BACKGROUND Since the introduction of atypical antipsychotic medications, beginning with clozapine in 1990, several case reports in the psychiatric literature have suggested that they might be associated with new onset of diabetes mellitus as well as with diabetic ketoacidosis. METHODS We report the case of a 38-year-old patient with schizophrenia who suddenly developed diabetes mellitus and k...

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Diabetic ketoacidosis associated with antipsychotic drugs: case reports and a review of literature.

BACKGROUND Second generation antipsychotics (SGAs) are associated with metabolic disturbances. Diabetic ketoacidosis (DKA) is a rare, but potentially fatal sign of acute glucose metabolism dysregulation linked to the use of SGAs. The aims of this article are to present patients with a history of psychotic disorders and of severe metabolic diabetic ketoacidosis, possibly associated with the use ...

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Rhabdomyolysis in Clozapine Overdose

CONTEXT Clozapine is used for decennia for the treatment of schizophrenia. Agranulocytosis, diabetic ketoacidosis, gastrointestinal hypomotility, and myocarditis are well-known adverse effects of clozapine, which are sometimes life threatening. Here we report a case of rhabdomyolysis upon an acute overdose of clozapine. CASE A male patient, 36 years, with elevated creatinine kinase levels (98...

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عنوان ژورنال:
  • Postgraduate medical journal

دوره 74 874  شماره 

صفحات  -

تاریخ انتشار 1998