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利培酮致白细胞减少症:再激发阳性证据和文献复习。

Risperidone-Induced Leukoneutropenia: Evidence from a Positive Rechallenge and Review of the Literature.

机构信息

Department of Pharmacovigilance, University of Sousse, Tunisia.

Department of Psychiatry, Farhat Hachad Hospital, Sousse University, Tunisia.

出版信息

Pharmacopsychiatry. 2024 Mar;57(2):78-81. doi: 10.1055/a-2262-8297. Epub 2024 Mar 12.

Abstract

Antipsychotics can cause hematologic disorders, and they can have life-threatening consequences. Risperidone, less commonly associated with hematologic adverse effects, is an atypical antipsychotic medication used to treat conditions such as schizophrenia, bipolar disorder and irritability associated with autism. While risperidone primarily affects the central nervous system, it can have some hematologic adverse effects, although these are relatively rare. It is crucial to note that these side effects are not common, and most people taking risperidone do not experience hematologic disorders. The reporting of such disorders may be more frequent with clozapine compared to other atypical antipsychotics because clozapine treatment necessitates regular hematological monitoring 1.

摘要

抗精神病药可引起血液系统疾病,并可能产生危及生命的后果。利培酮较少与血液学不良反应相关,是一种用于治疗精神分裂症、双相情感障碍和自闭症相关易怒等疾病的非典型抗精神病药物。虽然利培酮主要作用于中枢神经系统,但它可能会产生一些血液学不良反应,尽管这些不良反应相对较少见。需要注意的是,这些副作用并不常见,大多数服用利培酮的人不会出现血液系统疾病。与其他非典型抗精神病药相比,氯氮平的报告频率可能更高,因为氯氮平治疗需要定期进行血液学监测 1 。

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