Gafoor Rafael, Brophy Justin
Division of Psychological Medicine, Institute of Psychiatry, Kings College of London, de Crespigny Park, Denmark Hill, London SE5 8AF, UK.
Eur Psychiatry. 2003 Aug;18(5):260-1. doi: 10.1016/s0924-9338(03)00069-5.
Clozapine is indicated for the treatment of patients intolerant of conventional antipsychotic agents. It is often used to treat those patients who have developed movement disorders while on conventional antipsychotics. We report three cases of dyskinesia associated with clozapine induction. We suggest a mechanism that might explain an underlying dopaminergic hypersensitivity during this transitional period. Further, we identify groups that might be at high risk of developing dyskinesia and suggest strategies to reduce risk especially in these groups.
氯氮平适用于治疗对传统抗精神病药物不耐受的患者。它常用于治疗那些在使用传统抗精神病药物时出现运动障碍的患者。我们报告了3例与氯氮平诱导相关的运动障碍病例。我们提出了一种机制,该机制可能解释了在这个过渡阶段潜在的多巴胺能超敏反应。此外,我们确定了可能有发生运动障碍高风险的群体,并提出了降低风险的策略,尤其是针对这些群体。