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題 名 | Severe Acidosis Followed by Withdrawal Delirium and Dystonia-like Movement after Clozapine Overdose=Clozapine過量導致嚴重酸中毒並產生戒斷後瞻望及肌張力不全 |
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作 者 | 李姿誼; 李怡慧; 吳安邦; 楊延光; | 書刊名 | Taiwanese Journal of Psychiatry |
卷 期 | 25:4 2011.12[民100.12] |
頁 次 | 頁279-282+298 |
分類號 | 418.21 |
關鍵詞 | 可自律; 乳酸性酸中毒; 中毒; 戒斷; Clozapine; Lactic acidosis; Intoxication; Withdrawal; |
語 文 | 英文(English) |
英文摘要 | Background: Due to receptor-binding complexity of clozapine, the symptoms of its overdose and withdrawal are complicated and vary greatly in different patients. Case Report: The case report describes a schizophrenic patient who took 5,000 mg clozapine in a suicidal attempt. He suffered from metabolic acidosis, generalized tonic and clonic seizures with respiratory failure. The patient regained clear consciousness after clozapine was withheld. Delirium, dystonia-like movement and rebound psychosis emerged on the 4th day. Clozapine withdrawal was the most likely the cause, and above-symptoms were improved gradually after clozapine was reloaded. Conclusion: We suggest that clozapine overdose may lead to lactic acidosis even without the complications of hypotension and respiratory failure. Several mechanisms are attributed to the various presentations of clozapine withdrawal. The manifestations in our patient underscored the risk of severe acidosis after clozapine overdose and the importance of prevention of clozapine withdrawal. |
本系統中英文摘要資訊取自各篇刊載內容。