Amoxapine is a second-generation antidepressant possessing significant dopamine-blocking activity and extra-pyramidal side effects. The occurrence of neuroleptic malignant syndrome is described in a patient treated with amoxapine. The syndrome resolved rapidly following discontinuation of the drug. Older patients may be particularly at risk for this adverse reaction with amoxapine.
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References
1.
LEVENSONJL. Neuroleptic malignant syndrome. Am J Psychiatr1985; 142: 1137-45.
2.
SHALEVA, MUNITZH. The neuroleptic malignant syndrome: agent and host interaction. Acta Psychiatr Scandl1986; 73: 337-47.
3.
LYDIARDRB, GELENBERGAJ. Amoxapine—an antidepressant with some neuroleptic properties? A review of its chemistry, animal pharmacology and toxicology, human pharmacology, and clinical efficacy. Pharmacotherapy1981; 1: 163-78.
4.
COHENBM, HARRISPQ, ALTESMANRIAmoxapine: neuroleptic as well as antidepressant?Am J Psychiatr1982; 139: 1165-7.
5.
COCCAROEF, SIEVERLJ. Second generation antidepressants: a comparative review. J Clin Pharmacol1985; 25: 241-60.
6.
PRELLWITZW, NEUMEIERD. Creatine-kinase and CK-MB isoenzyme activity in serum of patients after surgical operations, polytrauma, and other damage to skeletal muscle. In: GoldbergDM, WernerM eds. Progress in clinical enzymology.New York: Mas-son, 1980: 100-1.
RAMPERTAAPMP. Neuroleptic malignant syndrome. South Med J1986; 79: 331-6.
9.
GREENBERGLB, GUJAVARTYK. The neuroleptic malignant syndrome: review and report of three cases. Compr Psychiatr1985; 26: 63-70.
10.
COOPERTB, KELLYRG. GLC analysis of loxapine, amoxapine, and their metabolites in serum and urine. JPharm Sci1979; 68: 216-9.
11.
STEELETE. Adverse reactions suggestive of amoxapine-induced dopamine blockade. Am J Psychiatr1982; 139: 1500-1.
12.
BURCHEA, DOWNSJ. Development of neuroleptic malignant syndrome during simultaneous amoxapine treatment and alprazolam discontinuation. J Clin Psychopharmacol1987; 7: 55-6.
13.
TAYLORNE, SCHWARTZHI. Neuroleptic malignant syndrome following amoxapine overdose. J Nerv Ment Dis1988; 176: 249-51.