Use of aripiprazole in clozapine induced enuresis: report of two cases

J Korean Med Sci. 2010 Feb;25(2):333-5. doi: 10.3346/jkms.2010.25.2.333. Epub 2010 Jan 19.

Abstract

This report describes the efficacy of combined use of aripiprazole in the treatment of a patient with clozapine induced enuresis. Aripiprazole acts as a potential dopamine partial agonist and the dopamine blockade in the basal ganglia might be one of the causes of urinary incontinence and enuresis. We speculate that aripiprazole functioned as a D2 agonist in hypodopaminergic state of basal ganglia caused by clozapine and maintained dopamine level that would improve enuresis ultimately.

Keywords: Aripiprazole; Clozapine; Dopamine; Enuresis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antipsychotic Agents / adverse effects*
  • Aripiprazole
  • Clozapine / adverse effects*
  • Dopamine / metabolism
  • Dopamine Agonists / therapeutic use*
  • Drug Therapy, Combination
  • Enuresis / chemically induced
  • Enuresis / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Piperazines / therapeutic use*
  • Quinolones / therapeutic use*
  • Schizophrenia, Paranoid / drug therapy

Substances

  • Antipsychotic Agents
  • Dopamine Agonists
  • Piperazines
  • Quinolones
  • Aripiprazole
  • Clozapine
  • Dopamine