New-onset seizure associated with quetiapine and olanzapine

被引:27
作者
Hedges, DW
Jeppson, KG [1 ]
机构
[1] Utah State Hosp, Provo, UT 84603 USA
[2] Brigham Young Univ, Dept Psychol, Provo, UT 84602 USA
[3] Brigham Young Univ, Ctr Neurosci, Provo, UT 84602 USA
[4] Brigham Young Univ, Ctr Neurosci, Provo, UT 84602 USA
关键词
atypical antipsychotics; olanzapine; quetiapine; seizure;
D O I
10.1345/aph.1A207
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
OBJECTIVE: To report a case involving a witnessed seizure in a patient receiving concurrent olanzapine and quetiapine. CASE SUMMARY: A 27-year-old white woman was observed to have a seizure while receiving a stable dosage of olanzapine 15 mg/d, with the addition of quetiapine 100 mg in the evening 1 day before the occurrence of the seizure. There were no known risk factors for epilepsy. DISCUSSION: This case reports a new-onset seizure in the context of concurrent olanzapine and quetiapine use. Interpretation is complicated by recent discontinuation of low-dose clonazepam. CONCLUSIONS: While uncommon, seizures can occur with non-clozapine atypical antipsychotics. Caution is indicated when using these drugs with other agents that may lower the seizure threshold.
引用
收藏
页码:437 / 439
页数:3
相关论文
共 17 条
[1]   Effects of risperidone in overdose [J].
Acri, AA ;
Henretig, FM .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1998, 16 (05) :498-501
[2]  
Alldredge BK, 1999, NEUROLOGY, V53, pS68
[3]   Factors influencing acute weight change in patients with schizophrenia treated with olanzapine, haloperidol, or risperidone [J].
Basson, BR ;
Kinon, BJ ;
Taylor, CC ;
Szymanski, KA ;
Gilmore, JA ;
Tollefson, GD .
JOURNAL OF CLINICAL PSYCHIATRY, 2001, 62 (04) :231-238
[4]   Olanzapine versus placebo and haloperidol - Acute phase results of the North American double-blind olanzapine trial [J].
Beasley, CM ;
Tollefson, G ;
Tran, P ;
Satterlee, W ;
Sanger, T ;
Hamilton, S ;
Fabre, L ;
Small, J ;
Ereshefsky, L ;
True, J ;
Nemeroff, C ;
Risch, SC ;
Perry, PJ ;
Potkin, SG ;
Borison, RL ;
James, S ;
Meltzer, HY ;
Iqbal, N ;
Fann, WE ;
Gewirtz, GR ;
Landbloom, R ;
RoyByrne, PP ;
Tuason, VB ;
Carman, JS ;
Stokes, PE ;
Williams, R ;
Ancill, RJ ;
MacEwan, GW ;
Gujavarty, KS ;
Jones, B ;
Lohr, JB .
NEUROPSYCHOPHARMACOLOGY, 1996, 14 (02) :111-123
[5]  
Bonanno DG, 2001, ANN PHARMACOTHER, V35, P563
[6]  
DEVINSKY O, 1991, NEUROLOGY, V41, P368
[7]   Atypical antipsychotics in the treatment of schizophrenia: systematic overview and meta-regression analysis [J].
Geddes, J ;
Freemantle, N ;
Harrison, P ;
Bebbington, P .
BRITISH MEDICAL JOURNAL, 2000, 321 (7273) :1371-1376
[8]  
HORI M, 1992, JPN J PSYCHIAT NEUR, V46, P161
[9]   Seizure during risperidone treatment in an elderly woman treated with concomitant medications [J].
Lane, HY ;
Chang, WH ;
Chou, JCY .
JOURNAL OF CLINICAL PSYCHIATRY, 1998, 59 (02) :81-82
[10]   Seizure associated with olanzapine [J].
Lee, JW ;
Crismon, ML ;
Dorson, PG .
ANNALS OF PHARMACOTHERAPY, 1999, 33 (05) :554-556