Zotepine-induced convulsive seizures in a chronic case of treatment resistant paranoid schizophrenia.

Abstract

Adverse effects to antipsychotics are varied, frequently intolerable, often serious and sometimes fatal in clinical practice. Seizures are one of these adverse effects. Almost all first and second generation antipsychotics elicit dose-dependent lowering of seizure threshold, indicating increased seizure risk at higher drug dosages. The adverse event of zotepine induced seizure is published in few case reports. We report the occurrence of myoclonic seizure progressing to generalized tonic-clonic seizures with zotepine along with clear temporal association of dose dependent modulation evident in this case.

• Authors: Praveen Khairkar, Neha Gupta, Sushil Kumar Varma
• Journal: Indian journal of pharmacology (Indian J Pharmacol) 2013 Jan-Feb Vol. 45 Issue 1 Pg. 95-7 ISSN: 1998-3751 [Electronic] India
• PMID: 23543675 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antipsychotic Agents
• Dibenzothiepins
• zotepine

Topics

• Antipsychotic Agents (adverse effects)
• Dibenzothiepins (adverse effects)
• Dose-Response Relationship, Drug
• Hallucinations (chemically induced)
• Humans
• Male
• Schizophrenia, Paranoid (drug therapy)
• Seizures (chemically induced)
• Young Adult