Neuroleptic malignant syndrome and clozapine withdrawal at the same time?

Prog Neuropsychopharmacol Biol Psychiatry. 2005 Jan;29(1):145-7. doi: 10.1016/j.pnpbp.2004.10.001.

Abstract

The authors report a case of a patient, who in a few days after an abrupt discontinuation of clozapine and haloperidol developed agitated and confused state resembling neuroleptic malignant syndrome (NMS) and clozapine withdrawal symptoms at the same time. Data obtained from family members led to gradual reintroduction of clozapine and to subsequent recovery. The case illustrates the importance for clinicians to be familiar with the variety of discontinuation symptoms, so they can recognize them and offer effective treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Clozapine / adverse effects*
  • Haloperidol / therapeutic use
  • Humans
  • Male
  • Neuroleptic Malignant Syndrome / complications*
  • Neuroleptic Malignant Syndrome / psychology
  • Psychomotor Agitation / etiology
  • Substance Withdrawal Syndrome / complications*
  • Substance Withdrawal Syndrome / psychology
  • Treatment Refusal

Substances

  • Antipsychotic Agents
  • Clozapine
  • Haloperidol