Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect

Priapism is a rare but important side effect of antipsychotic drugs which may evolve into a urological emergency. Most antipsychotic drugs are alpha-1 adrenergic antagonists, which is thought to be the principal mechanism involved in antipsychotic-induced priapism. Other aetiologies exist, however....

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Main Authors: Sinkeviciute, Igne, Kroken, Rune A., Johnsen, Erik
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420524/
id pubmed-3420524
recordtype oai_dc
spelling pubmed-34205242012-08-29 Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect Sinkeviciute, Igne Kroken, Rune A. Johnsen, Erik Case Report Priapism is a rare but important side effect of antipsychotic drugs which may evolve into a urological emergency. Most antipsychotic drugs are alpha-1 adrenergic antagonists, which is thought to be the principal mechanism involved in antipsychotic-induced priapism. Other aetiologies exist, however. A case is presented with multiple episodes of priapism during the use of several different antipsychotic drugs. The case is representative of many patients treated with antipsychotic drugs, as there were hyperprolactinemia, and illicit drug use, which are known causes of priapism. Moreover, the patient used combinations of antipsychotic drugs. The case thus illustrates the etiological complexity which could delay a diagnosis of antipsychotic-induced priapism, and the problem of establishing a link between priapism and one particular ingredient of a drug combination. The case presents how a treatment regimen was finally established balancing antipsychotic efficacy to acceptable side effects and offers guidance to physicians regarding how antipsychotic-induced priapism may be resolved. Hindawi Publishing Corporation 2012 2012-06-05 /pmc/articles/PMC3420524/ /pubmed/22934218 http://dx.doi.org/10.1155/2012/496364 Text en Copyright © 2012 Igne Sinkeviciute et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Sinkeviciute, Igne
Kroken, Rune A.
Johnsen, Erik
spellingShingle Sinkeviciute, Igne
Kroken, Rune A.
Johnsen, Erik
Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
author_facet Sinkeviciute, Igne
Kroken, Rune A.
Johnsen, Erik
author_sort Sinkeviciute, Igne
title Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_short Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_full Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_fullStr Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_full_unstemmed Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_sort priapism in antipsychotic drug use: a rare but important side effect
description Priapism is a rare but important side effect of antipsychotic drugs which may evolve into a urological emergency. Most antipsychotic drugs are alpha-1 adrenergic antagonists, which is thought to be the principal mechanism involved in antipsychotic-induced priapism. Other aetiologies exist, however. A case is presented with multiple episodes of priapism during the use of several different antipsychotic drugs. The case is representative of many patients treated with antipsychotic drugs, as there were hyperprolactinemia, and illicit drug use, which are known causes of priapism. Moreover, the patient used combinations of antipsychotic drugs. The case thus illustrates the etiological complexity which could delay a diagnosis of antipsychotic-induced priapism, and the problem of establishing a link between priapism and one particular ingredient of a drug combination. The case presents how a treatment regimen was finally established balancing antipsychotic efficacy to acceptable side effects and offers guidance to physicians regarding how antipsychotic-induced priapism may be resolved.
publisher Hindawi Publishing Corporation
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420524/
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