Document Detail


Extrapyramidal syndrome related to lithium-carbamazepine combination therapy at therapeutic serum levels.
MedLine Citation:
PMID:  20375657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neurological disturbances due to lithium-carbamazepine combination therapy are infrequent, and only a few cases have been reported so far. We describe a most unusual case of a patient with a history of bipolar disorder who developed ataxic gait, imbalance, and intention tremor after lithium-and-carbamazepine combination treatment with therapeutic serum levels of both drugs; he recovered completely when carbamazepine was discontinued. We also review the literature about this infrequent relationship, discuss on its proposed origin, and underline its importance as a potential adverse effect in elderly patients, yet with therapeutic or even subtherapeutic serum levels.
Authors:
Jose-Alberto Palma; Roberto Fernandez-Torron; Jaime Gallego Perez-Larraya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical neuropharmacology     Volume:  33     ISSN:  1537-162X     ISO Abbreviation:  Clin Neuropharmacol     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-04-08     Completed Date:  2010-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7607910     Medline TA:  Clin Neuropharmacol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-3     Citation Subset:  IM    
Affiliation:
Department of Neurology and Neurosurgery, University Clinic of Navarra, Pamplona, Spain. jpalmaca@unav.es
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MeSH Terms
Descriptor/Qualifier:
Antimanic Agents / administration & dosage,  adverse effects*,  blood
Bipolar Disorder / complications*,  drug therapy
Carbamazepine / administration & dosage,  adverse effects*,  blood
Drug Therapy, Combination / adverse effects*
Dyskinesia, Drug-Induced / complications*
Humans
Lithium Compounds / administration & dosage,  adverse effects*,  blood
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Antimanic Agents; 0/Lithium Compounds; 298-46-4/Carbamazepine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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