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氯氮平与氨磺必利联合使用减少副作用:病例报告及氯氮平引起流涎过多的简短综述——病例报告

Reduction of side effects by combining clozapine with amisulpride: case report and short review of clozapine-induced hypersalivation-a case report.

作者信息

Croissant B, Hermann D, Olbrich R

出版信息

Pharmacopsychiatry. 2005 Jan;38(1):38-9. doi: 10.1055/s-2005-837771.

Abstract

Side effects from a high-dose clozapine treatment for a schizophrenic patient led to massive compliance problems. The dose of clozapine could be halved without recurrence of an acute psychotic symptomatology by concomitantly administering amisulpride. The side effects, especially hypersalivation, disappeared almost entirely, which in turn led to good compliance. In a short review we would like to present the pathophysiology and therapeutic options of clozapine-induced hypersalivation.

摘要

一名精神分裂症患者接受高剂量氯氮平治疗时出现的副作用导致了严重的依从性问题。通过同时服用氨磺必利,氯氮平的剂量可以减半,而不会再次出现急性精神病症状。副作用,尤其是唾液分泌过多,几乎完全消失,这反过来又带来了良好的依从性。在一篇简短的综述中,我们想介绍氯氮平引起唾液分泌过多的病理生理学和治疗选择。

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