Sun Linyuan,Gao Yang,Su Bin,Li Mingli,Atypical antipsychotic drugs with strong alpha 1 receptor antagonism resulting in self-perceived hot in patients with schizophrenia: a case report[J].SICHUAN MENTAL HEALTH,2024,37(3):267-269
Atypical antipsychotic drugs with strong alpha 1 receptor antagonism resulting in self-perceived hot in patients with schizophrenia: a case report
DOI:10.11886/scjsws20240124001
English keywords:Schizophrenia  Atypical antipsychotic drugs with strong alpha 1 receptor antagonism  Fever
Fund projects:
Author NameAffiliationPostcode
Sun Linyuan West China Hospital Sichuan University Chengdu 610041 China 610041
Gao Yang Karamay Hospital of Integrated Traditional Chinese and Western Medicine Karamay 834000 China 834000
Su Bin Karamay Hospital of Integrated Traditional Chinese and Western Medicine Karamay 834000 China 834000
Li Mingli West China Hospital Sichuan University Chengdu 610041 China 610041
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English abstract:
      This article reported a case of a patient with schizophrenia who experienced self-perceived fever and discomfort after taking atypical antipsychotic drugs with strong alpha 1 receptor antagonism, which included olanzapine, risperidone, paliperidone and clozapine. Such phenomenon was believed to be a medication side effect. Therefore, the patient switched to aripiprazole and the fever disappeared. This case report is intended to remind psychiatrists to pay attention to the side effects caused by atypical antipsychotic drugs with strong alpha 1 receptor antagonism as well as to suggest that various factors should be considered, including mechanisms of drug action, patient pathophysiology and individual differences, in order to improve treatment compliance and prognosis.
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