Historique
Périodique
Tobacco and cannabis smoking cessation can lead to intoxication with clozapine or olanzapine
(L'arrêt de la consommation de tabac et de cannabis peut provoquer une intoxication par clozapine ou olanzapine.)
Auteur(s) :
ZULLINO, D. F. ;
DELESSERT, D. ;
EAP C. B. ;
PREISIG, M. ;
BAUMANN, P.
Année
2002
Page(s) :
141-143
Langue(s) :
Français
Refs biblio. :
18
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
ARRET DU TABAC
;
TABAC
;
CANNABIS
;
SEVRAGE
;
TRAITEMENT
;
MEDICAMENTS
;
INTOXICATION
Note générale :
International Clinical Psychopharmacology, 2002, 17, (3), 141-143
Résumé :
ENGLISH :
Plasma levels of clozapine and olanzapine are lower in smokers than in nonsmokers, which is mainly due to induction of cytochrome P4501 A2 (CYPIA2) by some smoke constituents. Smoking cessation in patients treated with antipsychotic drugs that are CYPI A2 substrates may result in increased plasma levels of the drug and consequently, in adverse drug effects. Two cases of patients who smoked tobacco and cannabis are reported. The first patient, who was receiving clozapine treatment, developed confusion after tobacco and cannabis smoking cessation, which was related to increased clozapine plasma levels. The second patient, who was receiving olanzapine treatment, showed important extrapyramidal motor symptoms after reducing his tobacco consumption. The clinical implication of these observations is that smoking patients treated with CYPIA2 substrate antipsychotics should regularly be monitored with regard to their smoking consumption in order to adjust doses in cases of a reduction or increase in smoking.
Affiliation :
Unité Biochimie Psychopharmacol. Clin., Dept Univ. Psychiatrie Adulte, Clin. de Cery, CH-1008 Prilly, Lausanne
Suisse. Switzerland.
Suisse. Switzerland.