CLONAZEPAM TREATMENT OF MYOCLONIC CONTRACTIONS ASSOCIATED WITH HIGH-DOSE OPIOIDS - CASE-REPORT

被引：46
作者：
EISELE, JH [1 ]
GRIGSBY, EJ [1 ]
DEA, G [1 ]
机构：
[1] UNIV CALIF DAVIS,SACRAMENTO MED CTR,MED CTR,CANC CTR PHARM,SACRAMENTO,CA 95817
来源：
PAIN | 1992年 / 49卷 / 02期
关键词：
CLONAZEPAM; OPIOID-INDUCED MYOCLONIC CONTRACTIONS; CHRONIC PAIN TREATMENT; HIGH-DOSE OPIOIDS;
D O I：
10.1016/0304-3959(92)90146-3
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A 30-year-old man with chronic abdominal pain was treated with high doses of hydromorphone intravenously and developed severe and frequent myoclonic contractions. Several medications including lorazepam failed to control the contractions; however, clonazepam in normal doses reduced the myoclonus dramatically.
引用
收藏
页码：231 / 232
页数：2
相关论文
共 11 条
  • [1] PHYSIOLOGY OF ALFENTANIL-INDUCED RIGIDITY
    BENTHUYSEN, JL
    SMITH, NT
    SANFORD, TJ
    HEAD, N
    DECSILVER, H
    [J]. ANESTHESIOLOGY, 1986, 64 (04) : 440 - 446
  • [2] WITHDRAWAL REACTION AFTER LONG-TERM THERAPEUTIC USE OF BENZODIAZEPINES
    BUSTO, U
    SELLERS, EM
    NARANJO, CA
    CAPPELL, H
    SANCHEZCRAIG, M
    SYKORA, K
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (14) : 854 - 859
  • [3] POST-ANOXIC ACTION MYOCLONUS (LANCE-ADAMS SYNDROME) TREATED WITH LEVODOPA AND GABAERGIC DRUGS
    COLETTI, A
    MANDELLI, A
    MINOLI, G
    TREDICI, G
    [J]. JOURNAL OF NEUROLOGY, 1980, 223 (01) : 67 - 70
  • [4] COMSTOCK MK, 1981, ANESTH ANALG, V60, P362
  • [5] PALATAL MYOCLONUS ASSOCIATED WITH A REDUCTION OF CEREBROSPINAL 5-HYDROXY-INDOLE-ACETIC ACID AND RESPONSIVE TO CLONAZEPAM
    GAUTHIER, S
    YOUNG, SN
    BAXTER, DW
    [J]. CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1981, 8 (01) : 51 - 54
  • [6] NORMORPHINE, A NEUROTOXIC METABOLITE
    GLARE, PA
    WALSH, TD
    PIPPENGER, CE
    [J]. LANCET, 1990, 335 (8691) : 725 - 726
  • [7] SPINAL MYOCLONUS
    HOEHN, MM
    CHERINGTON, M
    [J]. NEUROLOGY, 1977, 27 (10) : 942 - 946
  • [8] MYOCLONUS ASSOCIATED WITH TREATMENT WITH HIGH-DOSES OF MORPHINE - THE ROLE OF SUPPLEMENTAL DRUGS
    POTTER, JM
    REID, DB
    SHAW, RJ
    HACKETT, P
    HICKMAN, PE
    [J]. BRITISH MEDICAL JOURNAL, 1989, 299 (6692) : 150 - 153
  • [9] LOCALIZATION OF BRAIN-STEM SITES WHICH MEDIATE ALFENTANIL-INDUCED MUSCLE RIGIDITY IN THE RAT
    WEINGER, MB
    CLINE, EJ
    SMITH, NT
    BLASCO, TA
    KOOB, GF
    [J]. PHARMACOLOGY BIOCHEMISTRY AND BEHAVIOR, 1988, 29 (03) : 573 - 580
  • [10] KETANSERIN PRETREATMENT REVERSES ALFENTANIL-INDUCED MUSCLE RIGIDITY
    WEINGER, MB
    CLINE, EJ
    SMITH, NT
    KOOB, GF
    [J]. ANESTHESIOLOGY, 1987, 67 (03) : 348 - 354
12