eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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3/2023
vol. 32
 
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abstract:
Case report

Neutropenia in a schizophrenia patient following combined lurasidone and paliperidone therapy: a case report

Zuzanna Mielczarek
1
,
Beata Trędzbor
2
,
Katarzyna Piekarska-Bugiel
2
,
Krzysztof Krysta
2

  1. Students’ Scientific Association, Department and Clinic of Rehabilitation Psychiatry, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland
  2. Department and Clinic of Rehabilitation Psychiatry, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland
Adv Psychiatry Neurol 2023; 32 (3): 152–155
DOI: https://doi.org/10.5114/ppn.2023.132474
Online publish date: 2023/11/17
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Purpose
Lurasidon is a relatively new, second-generation antipsychotic drug with an interesting receptor profile. It is considered to be safe and has a low risk of side effects. It is a substance with a multi-receptor mechanism of action: it mainly blocks dopaminergic D2 and serotonergic 5-HT2A receptors. According to the Summary of Product Characteristics, the adverse reaction of neutropenia was too rare to enable the estimation of its frequency.

Views
A case of 39-year-old patient is presented in the article, diagnosed with paranoid schizophrenia, who developed neutropenia as a result of treatment with lurasidone. After the discontinuation of lurasidone and recommended supplementation, the blood test results gradually improved and finally reached the normal range.

Comment
This case report shows the need for regular monitoring of blood cell parameters in patients treated with second-generation antipsychotics, as there is a risk of neutrocytopenia or even agranulocitosis.

keywords:

paranoid schizophrenia, neutropenia, lurasidone
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