Low-dose Clozapine-induced Seizure: A Case Report

被引:15
作者
Bolu, Abdullah [1 ]
Akarsu, Suleyman [2 ]
Pan, Erdal [1 ]
Aydemir, Emre [3 ]
Oznur, Taner [4 ]
机构
[1] Aircrews Hlth Res & Training Ctr, Eskisehir, Turkey
[2] Iskenderun Mil Hosp, Dept Psychiat, Ibrahim Karaoglanoglu St, TR-31200 Iskenderun, Hatay, Turkey
[3] Beytepe Mil Hosp, Dept Psychiat, Ankara, Turkey
[4] Gulhane Mil Med Fac, Dept Psychiat, Ankara, Turkey
关键词
Clozapine; Adverse effects; Seizures; Safety; EEG ABNORMALITIES; CLINICAL-RESPONSE; RECEPTORS; SCHIZOPHRENIA; OLANZAPINE; NEURONS;
D O I
10.9758/cpn.2017.15.2.190
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Seizures are believed to be a dose-dependent side effect of clozapine. In this case report, we describe a patient who had tonic-clonic seizures after using a low dose clozapine who did not have any seizure risk. The 29-year-old male patient had been followed-up with a diagnosis of schizophrenia for about 5 years. When using clozapine 200 mg/day he had a tonic-clonic seizure with bilateral diffuse epileptic activity in electroencephalography (EEG). In the literature, there are a few case reports about low-dose clozapine-induced seizure. Seizures were observed in our case with a low dose of clozapine (200 mg/day) making this case remarkable. EEG monitoring at regular intervals and examination of plasma levels of clozapine could be useful in preventing the development of seizures.
引用
收藏
页码:190 / 193
页数:4
相关论文
共 33 条
[1]  
Arvanov VL, 1999, J PHARMACOL EXP THER, V289, P1000
[2]   Use of anticonvulsants as prophylaxis for seizures in patients on clozapine [J].
Caetano, Dorgival .
AUSTRALASIAN PSYCHIATRY, 2014, 22 (01) :78-82
[3]   EEG abnormalities during treatment with typical and atypical Antipsychotics [J].
Centorrino, F ;
Price, BH ;
Tuttle, M ;
Bahk, WM ;
Hennen, J ;
Albert, MJ ;
Baldessarini, RJ .
AMERICAN JOURNAL OF PSYCHIATRY, 2002, 159 (01) :109-115
[4]  
DEVINSKY O, 1994, J CLIN PSYCHIAT, V55, P153
[5]  
Eren I, 2003, KLIN PSIKIYATRI, V6, P119
[6]  
ERESHEFSKY L, 1989, CLIN PHARMACY, V8, P691
[7]   Electroencephalographic Abnormalities in Clozapine-Treated Patients: A Cross-Sectional Study [J].
Goyal, Nishant ;
Praharaj, Samir Kumar ;
Desarkar, Pushpal ;
Nizamie, Haque .
PSYCHIATRY INVESTIGATION, 2011, 8 (04) :372-376
[8]   Serum clozapine levels: a review of their clinical utility [J].
Greenwood-Smith, C ;
Lubman, DI ;
Castle, DJ .
JOURNAL OF PSYCHOPHARMACOLOGY, 2003, 17 (02) :234-238
[9]  
Gulec G, 2007, B CLIN PSYCHOPHARMAC, V17, P134
[10]   EEG ALTERATIONS AND SEIZURES DURING TREATMENT WITH CLOZAPINE - A RETROSPECTIVE STUDY OF 283 PATIENTS [J].
GUNTHER, W ;
BAGHAI, T ;
NABER, D ;
SPATZ, R ;
HIPPIUS, H .
PHARMACOPSYCHIATRY, 1993, 26 (03) :69-74