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Clozapine Re-Challenge With Lithium Supplementation Following Clozapine-Induced Neutropenia
Journal Title ASEAN Journal of Psychiatry
Journal Abbreviation aseanjournalofpsychiatry
Publisher Group ASEAN Federation of Psychiatry and Mental Health (AFPMH)
Website http://www.aseanjournalofpsychiatry.org
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Title Clozapine Re-Challenge With Lithium Supplementation Following Clozapine-Induced Neutropenia
Authors Ahmad Nabil Md Rosli; Rakesh Subbiah; T Maniam
Abstract Objectives: This paper aims to report on a case in which re-challenging with clozapine in combination with lithium in a patient who developed neutropenia was carried out. Methods: The patient was treated with clozapine for treatment-resistant schizophrenia. After five weeks he showed much improvement but developed neutropenia. Withdrawal of clozapine brought on a relapse of psychotic symptoms. Subsequently, clozapine was reintroduced along with Lithium. The neutrophil count was monitored closely. Results: The neutrophil and white blood cell count were noted to return to normal upon re-challenging, and the patient’s clinical condition also improved. Conclusion: Simultaneous administration of lithium and clozapine to patients experiencing neutropenia on clozapine is a possible strategy. However, very close monitoring of the white count is needed. ASEAN Journal of Psychiatry, Vol. 15 (1): January – June 2014: 90-92. 
Publisher ASEAN Federation of Psychiatry and Mental Health (AFPMH)
Date 2013-11-12
Source ASEAN Journal of Psychiatry Vol 15, No 1 (2014): ASEAN Journal of Psychiatry

 

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