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Agranulocytosis during treatment with chlozapine
Within six months of the introduction of the new antipsychotic drug clozapine in Finalnd, 17 cases of neutropenia or agranulocytosis were recorded amongst about 3000 patients treated. Agranulocytosis was fatal in eight patients, and in addition, two patients developed thrombocytopenia, and one patie...
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Published in: | European journal of clinical pharmacology 1977-03, Vol.11 (3), p.193 |
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container_title | European journal of clinical pharmacology |
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creator | Idänpään-Heikkilä, J Alhava, E Olkinuora, M Palva, I P |
description | Within six months of the introduction of the new antipsychotic drug clozapine in Finalnd, 17 cases of neutropenia or agranulocytosis were recorded amongst about 3000 patients treated. Agranulocytosis was fatal in eight patients, and in addition, two patients developed thrombocytopenia, and one patient leukaemia. As additional cases might well have been overlooked as banal infections, the risk of developing agranulocytosis during clozapine treatment was at least 0.5%. Impaired elimination of the drug or increased susceptibility of granulocyte precursors to clozapine, possibly due to some inherited characteristic, might explain the high incidence of complications. |
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Agranulocytosis was fatal in eight patients, and in addition, two patients developed thrombocytopenia, and one patient leukaemia. As additional cases might well have been overlooked as banal infections, the risk of developing agranulocytosis during clozapine treatment was at least 0.5%. Impaired elimination of the drug or increased susceptibility of granulocyte precursors to clozapine, possibly due to some inherited characteristic, might explain the high incidence of complications.</description><identifier>ISSN: 0031-6970</identifier><identifier>PMID: 856603</identifier><language>eng</language><publisher>Germany</publisher><subject>Adolescent ; Adult ; Aged ; Agranulocytosis - chemically induced ; Agranulocytosis - epidemiology ; Agranulocytosis - mortality ; Clozapine - adverse effects ; Clozapine - analysis ; Clozapine - therapeutic use ; Dibenzazepines - adverse effects ; Drug Contamination ; Drug Therapy, Combination ; Female ; Finland ; Hematologic Diseases - chemically induced ; Humans ; Male ; Middle Aged</subject><ispartof>European journal of clinical pharmacology, 1977-03, Vol.11 (3), p.193</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/856603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Idänpään-Heikkilä, J</creatorcontrib><creatorcontrib>Alhava, E</creatorcontrib><creatorcontrib>Olkinuora, M</creatorcontrib><creatorcontrib>Palva, I P</creatorcontrib><title>Agranulocytosis during treatment with chlozapine</title><title>European journal of clinical pharmacology</title><addtitle>Eur J Clin Pharmacol</addtitle><description>Within six months of the introduction of the new antipsychotic drug clozapine in Finalnd, 17 cases of neutropenia or agranulocytosis were recorded amongst about 3000 patients treated. Agranulocytosis was fatal in eight patients, and in addition, two patients developed thrombocytopenia, and one patient leukaemia. As additional cases might well have been overlooked as banal infections, the risk of developing agranulocytosis during clozapine treatment was at least 0.5%. Impaired elimination of the drug or increased susceptibility of granulocyte precursors to clozapine, possibly due to some inherited characteristic, might explain the high incidence of complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Agranulocytosis - chemically induced</subject><subject>Agranulocytosis - epidemiology</subject><subject>Agranulocytosis - mortality</subject><subject>Clozapine - adverse effects</subject><subject>Clozapine - analysis</subject><subject>Clozapine - therapeutic use</subject><subject>Dibenzazepines - adverse effects</subject><subject>Drug Contamination</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Finland</subject><subject>Hematologic Diseases - chemically induced</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><issn>0031-6970</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><recordid>eNotzrtuwjAUgGEPpeXSvkGHvEAk2yc-iUeEKEVCYmFHB1_AVW6yHVX06Rno9G-f_he24BxEibrmc7ZM6YdzoTSHN_baKEQOC8bX10j91A7mnocUUmGnGPprkaOj3Lk-F78h3wpza4c_GkPv3tnMU5vcx39X7PS1PW2-y8Nxt9-sD-WoJJSAUIGqqdbKgCTlKqga46zwxgvprdRWCUIrpBAXTUqiRzCSTGO0xQZhxT6f7DhdOmfPYwwdxfv5-Q0Pzcs9qw</recordid><startdate>19770311</startdate><enddate>19770311</enddate><creator>Idänpään-Heikkilä, J</creator><creator>Alhava, E</creator><creator>Olkinuora, M</creator><creator>Palva, I P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>19770311</creationdate><title>Agranulocytosis during treatment with chlozapine</title><author>Idänpään-Heikkilä, J ; Alhava, E ; Olkinuora, M ; Palva, I P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p523-3634357a795c32a5e4348ced1fcf12fd29d51a6d1211b9a526f63c2ac8c9d6863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Agranulocytosis - chemically induced</topic><topic>Agranulocytosis - epidemiology</topic><topic>Agranulocytosis - mortality</topic><topic>Clozapine - adverse effects</topic><topic>Clozapine - analysis</topic><topic>Clozapine - therapeutic use</topic><topic>Dibenzazepines - adverse effects</topic><topic>Drug Contamination</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Finland</topic><topic>Hematologic Diseases - chemically induced</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Idänpään-Heikkilä, J</creatorcontrib><creatorcontrib>Alhava, E</creatorcontrib><creatorcontrib>Olkinuora, M</creatorcontrib><creatorcontrib>Palva, I P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>European journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Idänpään-Heikkilä, J</au><au>Alhava, E</au><au>Olkinuora, M</au><au>Palva, I P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Agranulocytosis during treatment with chlozapine</atitle><jtitle>European journal of clinical pharmacology</jtitle><addtitle>Eur J Clin Pharmacol</addtitle><date>1977-03-11</date><risdate>1977</risdate><volume>11</volume><issue>3</issue><spage>193</spage><pages>193-</pages><issn>0031-6970</issn><abstract>Within six months of the introduction of the new antipsychotic drug clozapine in Finalnd, 17 cases of neutropenia or agranulocytosis were recorded amongst about 3000 patients treated. Agranulocytosis was fatal in eight patients, and in addition, two patients developed thrombocytopenia, and one patient leukaemia. As additional cases might well have been overlooked as banal infections, the risk of developing agranulocytosis during clozapine treatment was at least 0.5%. Impaired elimination of the drug or increased susceptibility of granulocyte precursors to clozapine, possibly due to some inherited characteristic, might explain the high incidence of complications.</abstract><cop>Germany</cop><pmid>856603</pmid></addata></record> |
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identifier | ISSN: 0031-6970 |
ispartof | European journal of clinical pharmacology, 1977-03, Vol.11 (3), p.193 |
issn | 0031-6970 |
language | eng |
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source | Springer Online Journal Archives (Through 1996) |
subjects | Adolescent Adult Aged Agranulocytosis - chemically induced Agranulocytosis - epidemiology Agranulocytosis - mortality Clozapine - adverse effects Clozapine - analysis Clozapine - therapeutic use Dibenzazepines - adverse effects Drug Contamination Drug Therapy, Combination Female Finland Hematologic Diseases - chemically induced Humans Male Middle Aged |
title | Agranulocytosis during treatment with chlozapine |
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