Prolonged and symptomatic bradycardia following a single dose of fingolimod

被引:23
作者
Faber, Hans [1 ]
Fischer, Hans-Joerg [2 ]
Weber, Frank [1 ]
机构
[1] Max Planck Inst Psychiat, D-80804 Munich, Germany
[2] Klinikum Schwabing, Munich Municipal Hosp Grp, Dept Emergency Med, Munich, Germany
关键词
bradycardia; disease modifying therapies; fingolimod; multiple sclerosis; RELAPSING MULTIPLE-SCLEROSIS; HEALTHY-SUBJECTS; ORAL FINGOLIMOD; FTY720; TRIAL;
D O I
10.1177/1352458512447596
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fingolimod-related bradycardia is usually asymptomatic, reaches its nadir within 6 hours post-dose and recovers spontaneously. Here we report the case of a 30-year-old MS patient with vagotonia who developed symptomatic bradycardia with 33 beats per minute at nadir 39 hours after a single dose of fingolimod. Bradycardia was responsive to atropine, but returned within 2 hours. Overall, it took a week until the patient recovered. Extended monitoring is advised in patients with symptomatic bradycardia.
引用
收藏
页码:126 / 128
页数:3
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