American journal of therapeutics · 2019
Intravenous Immunoglobulin and Methylprednisolone for Clozapine-Associated Perimyocarditis.
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Cheng Albert, Ahmed Mohanned, Shuaib Waqas
Аннотация
CLINICAL FEATURES: Cardiotoxicity is a rare but serious side effect of clozapine. We present a case of a psychiatric patient on chronic clozapine 75 mg daily, who presented with congestive heart failure secondary to the cardiotoxic effects of the psychiatric medication.
THERAPEUTIC CHALLENGE: Conventional heart failure treatment failed to improve symptoms.
SOLUTION: A course of 40 mg of intravenous immunoglobulin and 125 mg of steroids was implemented, after which the patient made a full recovery. We hope to raise awareness of concurrent clozapine-induced pericarditis and myocarditis and propose a role of intravenous immunoglobulin and steroids in the treatment of drug-induced cardiomyopathy.
THERAPEUTIC CHALLENGE: Conventional heart failure treatment failed to improve symptoms.
SOLUTION: A course of 40 mg of intravenous immunoglobulin and 125 mg of steroids was implemented, after which the patient made a full recovery. We hope to raise awareness of concurrent clozapine-induced pericarditis and myocarditis and propose a role of intravenous immunoglobulin and steroids in the treatment of drug-induced cardiomyopathy.