Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-19T03:03:23.868Z Has data issue: false hasContentIssue false

Adverse Interaction Between Cimetidine and Chlorpromazine in Two Cases of Chronic Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Alan Byrne
Affiliation:
Newcastle Hospital, Greystones, Co. Wicklow, Eire
Brian O'Shea*
Affiliation:
Newcastle Hospital, Greystones, Co. Wicklow, Eire
*
Correspondence

Abstract

The treatment of two chlorpromazine-medicated chronic schizophrenics with cimetidine resulted in excessive sedation, which necessitated a reduction in chlorpromazine dosage. Eventual discontinuation of cimetidine therapy led to a return of schizophrenic symptoms, which responded to an increase in chlorpromazine dosage to previous levels.

Type
Brief Report
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baldessarini, R. J. (1980) Drugs and the treatment of psychiatric disorders In The Pharmacological Basis of Therapeutics (eds A. Goodman & L. S. Gillman), pp. 403405. New York: MacMillan Publishing Co.Google Scholar
Barnhart, C. C. & Bowden, C. L. (1979) Toxic psychosis with cimetidine. American Journal of Psychiatry, 136, 725726.Google ScholarPubMed
Feely, J. & Wormsley, K. G. (1983) H2 receptor antagonists – cimetidine and ranitidine. British Medical Journal, 286, 695697.CrossRefGoogle Scholar
Flind, A. C. (1978) Cimetidine and oral anti-coagulants. British Medical Journal, ii, 1367.CrossRefGoogle Scholar
Howes, C. A., Pullar, T., Sourindhrin, I., et al (1983) Reduced steady-state concentrations of chlorpromazine and indomethacin in patients receiving cimetidine. European Journal of Clinical Pharmacology, 24, 99102.CrossRefGoogle ScholarPubMed
Jefferson, J. N. (1979) Central nervous system toxicity to cimetidine (abstract). American Journal of Psychiatry, 136, 346.Google Scholar
Johnson, J. (1979) Cimetidine and psychiatric complications. British Journal of Psychiatry, 134, 315316.CrossRefGoogle ScholarPubMed
Klotz, U. & Ruman, I. (1980) Delayed clearance of diazepam due to cimetidine. New England Journal of Medicine, 302, 10121014.CrossRefGoogle ScholarPubMed
McEllioott, M. (1978) Impaired creatinine clearance after cimetidine. Lancet, i, 99.CrossRefGoogle Scholar
McMillan, M. A., Ambis, D. & Sugal, J. H. (1978) Cimetidine and mental confusion. New England Journal of Medicine, 298, 284288.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.