Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder

Jianbo Lai,1,2 Qiaoqiao Lu,3 Tingting Huang,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, 2Key Laboratory of Mental Disorder Management in Zhejiang Province, 3Department of Internal Medicine, Zhejiang University School of Med...

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Autores principales: Lai J, Lu Q, Huang T, Hu S, Xu Y
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/9b96a4c46b7d4575addd8606326d1591
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spelling oai:doaj.org-article:9b96a4c46b7d4575addd8606326d15912021-12-02T05:52:00ZConvulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder1178-2021https://doaj.org/article/9b96a4c46b7d4575addd8606326d15912017-07-01T00:00:00Zhttps://www.dovepress.com/convulsive-syncope-related-to-a-small-dose-of-quetiapine-in-an-adolesc-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jianbo Lai,1,2 Qiaoqiao Lu,3 Tingting Huang,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, 2Key Laboratory of Mental Disorder Management in Zhejiang Province, 3Department of Internal Medicine, Zhejiang University School of Medicine, Hangzhou, China Abstract: Quetiapine, an atypical antipsychotic, has been extensively used in patients with bipolar disorder. Overdose of quetiapine can result in severe complications, such as coma, seizure, respiratory depression, arrhythmia, and even death. However, the paucity of toxicological evaluation in adolescence causes more potential risks in this population. Herein, we present a case of hypotension and convulsive syncope after exposure to a small dose of quetiapine in a 16-year-old who was diagnosed with bipolar disorder. After cessation of quetiapine, no additional convulsive movements were reported. This case indicates that even in young patients without predisposing factors, close monitoring of adverse effects should be warranted for safety concerns, especially at the initiation of quetiapine treatment. Keywords: quetiapine, bipolar disorder, hypotension, convulsive syncopeLai JLu QHuang THu SXu YDove Medical Pressarticlequetiapinebipolar disorderhypotensionconvulsive syncopeNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1905-1908 (2017)
institution DOAJ
collection DOAJ
language EN
topic quetiapine
bipolar disorder
hypotension
convulsive syncope
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle quetiapine
bipolar disorder
hypotension
convulsive syncope
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Lai J
Lu Q
Huang T
Hu S
Xu Y
Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
description Jianbo Lai,1,2 Qiaoqiao Lu,3 Tingting Huang,3 Shaohua Hu,1,2 Yi Xu1,2 1Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, 2Key Laboratory of Mental Disorder Management in Zhejiang Province, 3Department of Internal Medicine, Zhejiang University School of Medicine, Hangzhou, China Abstract: Quetiapine, an atypical antipsychotic, has been extensively used in patients with bipolar disorder. Overdose of quetiapine can result in severe complications, such as coma, seizure, respiratory depression, arrhythmia, and even death. However, the paucity of toxicological evaluation in adolescence causes more potential risks in this population. Herein, we present a case of hypotension and convulsive syncope after exposure to a small dose of quetiapine in a 16-year-old who was diagnosed with bipolar disorder. After cessation of quetiapine, no additional convulsive movements were reported. This case indicates that even in young patients without predisposing factors, close monitoring of adverse effects should be warranted for safety concerns, especially at the initiation of quetiapine treatment. Keywords: quetiapine, bipolar disorder, hypotension, convulsive syncope
format article
author Lai J
Lu Q
Huang T
Hu S
Xu Y
author_facet Lai J
Lu Q
Huang T
Hu S
Xu Y
author_sort Lai J
title Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
title_short Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
title_full Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
title_fullStr Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
title_full_unstemmed Convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
title_sort convulsive syncope related to a small dose of quetiapine in an adolescent with bipolar disorder
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/9b96a4c46b7d4575addd8606326d1591
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AT huangt convulsivesyncoperelatedtoasmalldoseofquetiapineinanadolescentwithbipolardisorder
AT hus convulsivesyncoperelatedtoasmalldoseofquetiapineinanadolescentwithbipolardisorder
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