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: Igne Sinkeviciute, Rune A. Kroken, Erik Johnsen
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2012/496364
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author Igne Sinkeviciute
Rune A. Kroken
Erik Johnsen
author_facet Igne Sinkeviciute
Rune A. Kroken
Erik Johnsen
author_sort Igne Sinkeviciute
collection DOAJ
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.
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series Case Reports in Psychiatry
spelling doaj-art-44907acb78644cf9b9f2620f9a6b92cb2025-02-03T01:09:43ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/496364496364Priapism in Antipsychotic Drug Use: A Rare but Important Side EffectIgne Sinkeviciute0Rune A. Kroken1Erik Johnsen2Division of Psychiatry, Haukeland University Hospital, Sandviksleitet 1, 5035 Bergen, NorwayDivision of Psychiatry, Haukeland University Hospital, Sandviksleitet 1, 5035 Bergen, NorwayDivision of Psychiatry, Haukeland University Hospital, Sandviksleitet 1, 5035 Bergen, NorwayPriapism 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.http://dx.doi.org/10.1155/2012/496364
spellingShingle Igne Sinkeviciute
Rune A. Kroken
Erik Johnsen
Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
Case Reports in Psychiatry
title 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_short Priapism in Antipsychotic Drug Use: A Rare but Important Side Effect
title_sort priapism in antipsychotic drug use a rare but important side effect
url http://dx.doi.org/10.1155/2012/496364
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