Life-threatening haematemesis associated with clozapine: a case report and literature review.

Autor: Adebayo KO; Department of Psychiatry, Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria., Ibrahim N, Mosanya T, Eegunranti B, Suleiman B, Ayankunle A
Jazyk: angličtina
Zdroj: Therapeutic advances in psychopharmacology [Ther Adv Psychopharmacol] 2013 Oct; Vol. 3 (5), pp. 275-7.
DOI: 10.1177/2045125313481026
Abstrakt: Clozapine is regarded as a second-line and in some cases last-line antipsychotic known for its common life-threatening side effects, such as agranulocytosis, constipation and cardiomyopathies, but rarely haematemesis. We report a case of severe haemetemesis in a chronic schizophrenic patient managed with clozapine. The patient was a 46-year-old male being managed for chronic schizophrenia with treatment resistance who developed sudden severe haematemesis following commencement of clozapine for 6 weeks. The patient had 1.1 l of blood transfusion. The relevant literature is reviewed. Clozapine can be associated with a life-threatening haematemesis. Psychiatrists and other medical specialists need to be alert to the fatality of clozapine-induced haematemesis in the treatment of psychiatric disorders.
Databáze: MEDLINE