CLOZAPINE-ASSOCIATED PRIAPISM - A CASE-REPORT

被引:39
作者
SEFTEL, AD
DETEJADA, IS
SZETELA, B
COLE, J
GOLDSTEIN, I
机构
[1] BOSTON UNIV,MED CTR,DEPT UROL,720 HARRISON AVE,ROOM 6096,BOSTON,MA 02118
[2] BETH ISRAEL MED CTR,DEPT PSYCHIAT,BOSTON,MA
[3] MCLEAN HOSP,DEPT PSYCHIAT,BELMONT,MA 02178
关键词
PENILE ERECTION; DIBENZAPINES; PRIAPISM;
D O I
10.1016/S0022-5347(17)37166-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Priapism is a recognized side effect of antipsychotic therapy. Recently, new agents known as atypical antipsychotics, such as clozapine, have been introduced with the intent of ameliorating psychosis without the extrapyramidal side effects associated with standard antipsychotic therapy. Priapism has not been observed previously with atypical antipsychotic therapy. We report a case of veno-occlusive priapism associated with the use of clozapine. This priapistic episode was complicated by the development of recurrent post-ischemic priapism.
引用
收藏
页码:146 / 148
页数:3
相关论文
共 18 条
[1]  
DELAY J, 1952, Ann Med Psychol (Paris), V110, P267
[2]   PATHOPHYSIOLOGY OF PROLONGED PENILE ERECTION ASSOCIATED WITH TRAZODONE USE [J].
DETEJADA, IS ;
WARE, JC ;
BLANCO, R ;
PITTARD, JT ;
NADIG, PW ;
AZADZOI, KM ;
KRANE, RJ ;
GOLDSTEIN, I .
JOURNAL OF UROLOGY, 1991, 145 (01) :60-64
[3]  
ERESHEFSKY L, 1989, CLIN PHARMACY, V8, P691
[4]  
HYTTEL J, 1985, DYSKINESIA RES TREAT, P9
[5]   PRIAPISM AND PSYCHOTROPIC MEDICATION [J].
KOGEORGOS, J ;
DEALWIS, C .
BRITISH JOURNAL OF PSYCHIATRY, 1986, 149 :241-243
[6]   LOXAPINE AND CLOZAPINE DECREASE SEROTONIN (S2) BUT DO NOT ELEVATE DOPAMINE (D2) RECEPTOR NUMBERS IN THE RAT-BRAIN [J].
LEE, T ;
TANG, SW .
PSYCHIATRY RESEARCH, 1984, 12 (04) :277-285
[7]   RECURRENT PROLONGED ERECTIONS AND PRIAPISM AS A SEQUELA OF PRIAPISM - PATHOPHYSIOLOGY AND MANAGEMENT [J].
LEVINE, FJ ;
DETEJADA, IS ;
PAYTON, TR ;
GOLDSTEIN, I .
JOURNAL OF UROLOGY, 1991, 145 (04) :764-767
[8]  
LIEBERMAN JA, 1989, J CLIN PSYCHIAT, V50, P329
[9]  
MATZ R, 1974, CURR THER RES CLIN E, V16, P687
[10]  
MITCHELL JE, 1982, AM J PSYCHIAT, V139, P633