Clozapine‐induced myocarditis: Follow‐up for 3.5 years after successful retrial

Autor: Yutaka Hosoda, Tsutomu Aoki, Yuji Otsuka, Keita Idemoto, Yukitsugu Imamura
Rok vydání: 2019
Předmět:
Zdroj: Journal of General and Family Medicine
ISSN: 2189-7948
DOI: 10.1002/jgf2.239
Popis: Schizophrenia patients have significantly lower life expectancy than the general population. Clozapine is the most effective antipsychotic to reduce the mortality rate in these patients. Here, we report a schizophrenic patient with clozapine‐induced myocarditis and successful retrial. In the first trial, clozapine was discontinued due to myocarditis. In the second trial, the titration rate was slower, and sodium valproate was not coadministered with clozapine. The patient has not developed myocarditis over 3.5 years of observation. It may be possible to take clozapine for a long time even after clozapine‐induced myocarditis, and thus improve the life expectancy of schizophrenia patients.
Databáze: OpenAIRE