DILTIAZEM-INDUCED PSYCHOSIS AND A POSSIBLE DILTIAZEM-LITHIUM INTERACTION

被引:19
作者
BINDER, EF
CAYABYAB, L
RITCHIE, DJ
BIRGE, SJ
机构
[1] UNIV MISSOURI, MED CTR, SCH MED, COLUMBIA, MO 65201 USA
[2] JEWISH HOSP ST LOUIS, CLIN PHARM, ST LOUIS, MO 63110 USA
[3] ST LOUIS COLL PHARM, DEPT PHARM PRACTICE, ST LOUIS, MO USA
关键词
D O I
10.1001/archinte.151.2.373
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Calcium channel blockers are being used increasingly for a variety of cardiovascular problems. Diltiazem hydrochloride, a benzothlazepine derivative, has been reported to have a low incidence of adverse side effects. We report a case of acute psychosis associated with the use of diltiazem in a patient receiving lithium carbonate therapy. Both diltiazem hydrochloride and lithium carbonate have calcium antagonist effects in the central nervous system, and we review their mechanisms of action. A possible synergistic drug interaction between diltiazem and lithium is reported.
引用
收藏
页码:373 / 374
页数:2
相关论文
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