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锂/抗精神病药物毒性问题。

The question of lithium/neuroleptic toxicity.

作者信息

Jeffries J, Remington G, Wilkins J

出版信息

Can J Psychiatry. 1984 Nov;29(7):601-4. doi: 10.1177/070674378402900711.

DOI:10.1177/070674378402900711
PMID:6150756
Abstract

The question of lithium-haloperidol incompatibility has been debated for a number of years now. The difficulty remains in distinguishing a combined toxicity syndrome, rather than toxicity to either agent alone. The authors reviewed a further case of adverse drug response following the concomitant use of lithium and haloperidol. It is their conclusion that a combined toxicity syndrome does exist, although it remains for future investigations to determine whether this effect is additive or synergistic. Finally, the possibility of underlying organic susceptibility is raised with reference to the case presented here.

摘要

锂与氟哌啶醇不相容性的问题已经争论多年了。困难在于区分合并毒性综合征,而不是单独对任何一种药物的毒性。作者回顾了另一例锂和氟哌啶醇联合使用后出现药物不良反应的病例。他们的结论是确实存在合并毒性综合征,尽管这种效应是相加的还是协同的仍有待未来研究确定。最后,参照此处呈现的病例,提出了潜在机体易感性的可能性。

相似文献

1
The question of lithium/neuroleptic toxicity.锂/抗精神病药物毒性问题。
Can J Psychiatry. 1984 Nov;29(7):601-4. doi: 10.1177/070674378402900711.
2
New data on lithium and haloperidol incompatibility.
Am J Psychiatry. 1981 Jun;138(6):818-21. doi: 10.1176/ajp.138.6.818.
3
Correlation of neuroleptic dose and neurotoxicity in patients given lithium and a neuroleptic.接受锂盐和抗精神病药物治疗的患者中抗精神病药物剂量与神经毒性的相关性。
Hosp Community Psychiatry. 1987 Nov;38(11):1219-21. doi: 10.1176/ps.38.11.1219.
4
Safety of the combination of lithium and neuroleptic drugs.
Am J Psychiatry. 1986 Jul;143(7):882-4. doi: 10.1176/ajp.143.7.882.
5
[Incompatibility of lithium therapy with neuroleptics. a case report (author's transl)].[锂疗法与抗精神病药物的不相容性。病例报告(作者译)]
Nervenarzt. 1979 Feb;50(2):124-7.
6
Electroencephalographic changes and other indices of neurotoxicity with haloperidol-lithium therapy.氟哌啶醇-锂盐疗法的脑电图变化及其他神经毒性指标。
Neuropsychobiology. 1989;20(3):152-7. doi: 10.1159/000118490.
7
Lithium and neuroleptics in combination: is there enhancement of neurotoxicity leading to permanent sequelae?锂盐与抗精神病药物联合使用:是否会增强神经毒性导致永久性后遗症?
J Clin Pharmacol. 1996 Oct;36(10):951-62. doi: 10.1002/j.1552-4604.1996.tb04763.x.
8
Lithium and neuroleptic drug combination: lack of an effect on blood glucose.锂盐与抗精神病药物联合使用:对血糖无影响。
Br J Clin Pharmacol. 1978 Nov;6(5):436-7. doi: 10.1111/j.1365-2125.1978.tb04611.x.
9
A comparison of haloperidol, lithium carbonate and their combination in the treatment of mania.
J Affect Disord. 1980 Dec;2(4):279-88. doi: 10.1016/0165-0327(80)90029-4.
10
Concomitant administration of haloperidol and lithium carbonate in acute mania.在急性躁狂症中同时给予氟哌啶醇和碳酸锂。
Dis Nerv Syst. 1977 Sep;38(9):675-6.

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Clinically significant interactions of psychotropic agents with antipsychotic drugs.精神药物与抗精神病药物的临床显著相互作用。
Drug Saf. 1996 Nov;15(5):333-46. doi: 10.2165/00002018-199615050-00004.