Yeh Yi-Wei
Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Clin Neuropharmacol. 2011 Jul-Aug;34(4):135-6. doi: 10.1097/WNF.0b013e31822046bc.
Antipsychotics are thought to be effective in the treatment of hiccups; however, they are rarely reported to induce hiccups. We report a case of persistent hiccups after administration of aripiprazole in a patient with concurrence of schizophrenia and cerebral palsy. Prior brain injury and switching antipsychotics may precipitate the development of hiccups in the present case. Aripiprazole with a partial agonist of dopamine D2 receptors and serotonin 1A receptors may play a crucial role in the pathophysiology of hiccups.
抗精神病药物被认为在治疗呃逆方面有效;然而,很少有报告称它们会诱发呃逆。我们报告了一例患有精神分裂症和脑瘫的患者在服用阿立哌唑后出现持续性呃逆的病例。既往脑损伤和更换抗精神病药物可能促使了本例呃逆的发生。具有多巴胺D2受体和5-羟色胺1A受体部分激动剂作用的阿立哌唑可能在呃逆的病理生理学中起关键作用。