scholarly journals Anticholinergic Plant Misuse and Schizophrenia: Regarding a Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 117-119
Author(s):  
Pedro Frias Gonçalves ◽  
Liliana Castro ◽  
Jorge Mota
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Antipsychotic Medication ◽  
Drug Misuse ◽  
Anticholinergic Medication ◽  
Anticholinergic Effects ◽  
Dual Pathology ◽  
Medication Abuse ◽  
Addictive Potential ◽  
Recreational Use

Anticholinergic medication abuse is common in patients with schizophrenia. The recreational use of anticholinergic plants for their euphoria inducing and hallucinogenic properties is a rising concern in America and Eastern Europe, but rare in Portugal. Anticholinergic misuse poses a challenge to Psychiatrists treating patients with dual pathology, for its addictive potential. In managing antipsychotic medication and its side effects in this population one must have in mind the potential for abuse of anticholinergics. We present a case report of a patient with schizophrenia and abuse of anticholinergic plants, after receiving biperiden to treat extrapyramidal symptoms. Later we discuss anticholinergic effects and potential for addiction and explore ways to prevent and treat drug misuse in this context.

Bilateral Ulnar Nerve Paralysis: An Unreported Complication of Drug-Induced Extrapyramidal Rigidity

1997 ◽  
Vol 31 (3) ◽  
pp. 427-428 ◽  
Author(s):  
Govindarajan Sampath ◽  
Ananda K. Pandurangi
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Ulnar Nerve ◽  
Clinical Picture ◽  
Complete Recovery ◽  
Anticholinergic Medication ◽  
Extrapyramidal Side Effects ◽  
Drug Induced ◽  
Nerve Paralysis ◽  
Depot Neuroleptic

Objective: This case report describes a very unusual consequence of drug-induced extrapyramidal side effects. Clinical picture: The patient developed bilateral ulnar nerve paralysis. Treatment: The treatment consisted of anticholinergic medication and physiotherapy. Outcome: The patient made a complete recovery over a period of 8 months. Conclusions: There is a need to ensure compliance with anticholinergic medication when using depot neuroleptic medication.

scholarly journals A Case of Alpha-Pyrrolidinopentiophenone (Flakka)-Induced Ischemic Stroke

2021 ◽  
pp. 131-134
Author(s):  
Tommi Heinonen ◽  
Antti Korvenoja ◽  
Eero Pekkonen
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Side Effects ◽  
Occupational Therapy ◽  
Middle Cerebral Artery ◽  
Acute Ischemic Stroke ◽  
Mechanism Of Action ◽  
Cerebral Hemisphere ◽  
Designer Drug ◽  
Recreational Use

Alpha-pyrrolidinovalerophenone (α-PVP) is a designer drug, the mechanism of action of which resembles that of cocaine and amphetamine. New data about the side effects of α-PVP are emerging. We present a case report of an acute ischemic stroke following the recreational use of α-PVP. The ischemic lesions were located in the middle cerebral artery and deep watershed areas of the left cerebral hemisphere. Occupational therapy and physiotherapy were initiated, and the patient was discharged with only a mild right hemiparesis.

Long-term side effects following pneumonectomy: A case report and review of the literature

2019 ◽  
Author(s):  
BA Högerle ◽  
EL Bulut ◽  
L Klotz ◽  
F Eichhorn ◽  
M Eichhorn ◽  
...  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Review Of The Literature

scholarly journals What the Cardiologist Needs to Consider in the Management of Oncologic Patients with STEMI-Like Syndrome; A Case Report and Literature Review

2021 ◽  
Vol 14 (6) ◽  
pp. 563
Author(s):  
Aneta Aleksova ◽  
Giulia Gagno ◽  
Alessandro Pierri ◽  
Carla Todaro ◽  
Alessandra Lucia Fluca ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Side Effects ◽  
Single Agent ◽  
St Segment Elevation ◽  
Cardiac Catheterization Laboratory ◽  
Cardiac Side Effects ◽  
Coronary Syndrome ◽  
St Segment ◽  
Oncologic Patients

In pre-hospital care, an accurate and quick diagnosis of ST-segment elevation myocardial infarction (STEMI) is imperative to promptly kick-off the STEMI network with a direct transfer to the cardiac catheterization laboratory (cath lab) in order to reduce myocardial infarction size and mortality. Aa atherosclerotic plaque rupture is the main mechanism responsible for STEMI. However, in a small percentage of patients, emergency coronarography does not reveal any significant coronary stenosis. The fluoropyrimidine agents such as 5-Fluorouracil (5-FU) and capecitabine, widely used to treat gastrointestinal, breast, head and neck cancers, either as a single agent or in combination with other chemotherapies, can cause potentially lethal cardiac side effects. Here, we present the case of a patient with 5-FU cardiotoxicity resulting in an acute coronary syndrome (ACS) with recurrent episodes of chest pain and ST-segment elevation.. Our case report highlights the importance of widening the knowledge among cardiologists of the side effects of chemotherapeutic drugs, especially considering the rising number of cancer patients around the world and that fluoropyrimidines are the main treatment for many types of cancer, both in adjuvant and advanced settings.

71. Sturge–Weber syndrome + cortical dysplasia. A dual pathology case report

2016 ◽  
Vol 127 (9) ◽  
pp. e319
Author(s):  
Areli Rosario Suarez-Roman ◽  
Enoe Cruz-Martinez ◽  
Yokary Amor Mellado-Ortiz ◽  
Ernesto Ramirez-Navarrete ◽  
Paul Shkurovich-Bialik
Keyword(s):  
Case Report ◽  
Cortical Dysplasia ◽  
Dual Pathology ◽  
Weber Syndrome ◽  
Sturge Weber Syndrome

scholarly journals Ulipristal Acetate in Myomectomy Optimization in an Infertile Patient with Giant Myomas

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Elena de la Fuente ◽  
María Dolores Borrás ◽  
Miriam Rubio ◽  
Nuria Abril
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Normal Pregnancy ◽  
Uterine Wall ◽  
Surgical Removal ◽  
Preoperative Treatment ◽  
Ulipristal Acetate ◽  
Infertile Patient ◽  
Beneficial Effects ◽  
Pregnancy And Delivery

The use of ulipristal acetate (UPA) has been recently introduced in the treatment of uterine leiomyomas. This drug has proven useful to control menometrorrhagia and to reduce myoma size. In the case presented here, we show the benefits of UPA treatment in facilitating surgical removal of giant myomas in an infertile patient. In addition to myoma reduction and a better control of preoperative bleeding, the treatment with UPA reduced the duration and complexity of the surgery, as well as the area of uterine wall involved and the resulting scar. No side effects were observed and the patient became pregnant 6 months after the surgery and had a normal pregnancy and delivery. This case report shows the beneficial effects of UPA in the preoperative treatment of myomas which affect uterus function.

Metabolic Alkalosis Secondary to Baking Soda Treatment of a Diaper Rash

PEDIATRICS ◽  
1981 ◽  
Vol 67 (6) ◽  
pp. 820-822
Author(s):  
Jose Gonzalez ◽  
Ronald J. Hogg
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Sodium Bicarbonate ◽  
Complete Resolution ◽  
Metabolic Alkalosis ◽  
Acid Base ◽  
Prior Application ◽  
Acid Base Disturbance ◽  
Base Disturbance

A 4-month-old infant was seen with hypokalemic metabolic alkalosis that was associated with prior application of liberal amounts of sodium bicarbonate (baking soda) to a diaper rash. After exclusion of other etiologies of the infant's acid-base disturbance, a complete resolution occurred following discontinuation of the baking soda applications. This case report provides a reminder of the significant side effects that may result from the excessive use of a seemingly harmless household substance.

Arterial hypertension + past stroke – a case report

2021 ◽  
Vol 14 (3) ◽  
pp. 324-326
Author(s):  
Maria Łukasiewicz ◽  
Marta Swarowska-Skuza
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Chronic Disease ◽  
Side Effects ◽  
Arterial Hypertension ◽  
Antihypertensive Therapy ◽  
Systolic Hypertension ◽  
The Elderly ◽  
Isolated Systolic Hypertension ◽  
Special Group

Arterial hypertension, as a very widespread chronic disease, and thus differing in both pathomechanism and course in patients, requires a significant individualization of pharmacotherapy. One such special group is the elderly. Both the low-renin pathomechanism of arterial hypertension and its phenotype (isolated systolic hypertension) imply the choice of a specific pharmacotherapy. Additionally, in this group, side effects should be observed much more vigilantly, while target blood pressure values should be treated more liberally. An example of antihypertensive therapy in a patient belonging to the group described is presented in the following case.

OLANZAPINE INDUCED AMENORRHEA REVERSED BY SWITCHING TO ARIPIPRAZOLE- A RARE CASE REPORT

2021 ◽  
pp. 50-51
Author(s):  
Ankit Halder ◽  
Navna Panchami ◽  
Abhishek Das
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Rare Case ◽  
Atypical Antipsychotics ◽  
Extrapyramidal Side Effects ◽  
Rare Case Report

Due to less extrapyramidal side-effects ,atypical antipsychotics use in psychiatry has increased a lot. But it is associated with other metabolic and endocrine side effects. Olanzapine is one such antipsychotic that less likely to cause hyperprolactinemia which can present as amenorrhea in patients.Here we present a rare case of olanzapine induced amenorrhoea reversed by switching to Aripiprazole.

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