Angioedema with haloperidol - case report
Introduction Haloperidol is a high-potency first generation antipsychotic and one of the most frequently used antipsychotic medications. It is a potent central antagonist of type 2 dopamine receptors, with low alpha 1 adrenergic activity and has no antihistamine or anti-cholinergic activity. It is...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821012840/type/journal_article |
| _version_ | 1797616640476577792 |
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| author | A. Costa S. Jesus J. Alcafache |
| author_facet | A. Costa S. Jesus J. Alcafache |
| author_sort | A. Costa |
| collection | DOAJ |
| description |
Introduction
Haloperidol is a high-potency first generation antipsychotic and one of the most frequently used antipsychotic medications. It is a potent central antagonist of type 2 dopamine receptors, with low alpha 1 adrenergic activity and has no antihistamine or anti-cholinergic activity. It is a widely used drug with proven efficacy. Angioedema is a very rare side effect, occurring in <1% of cases.
Objectives
Case report and reflection on its etiology
Methods
A Pubmed search was performed with the MeSH terms “haloperidol” and “Anaphylactic reactions”. Relevant articles obtained from the respective bibliographic references were also consulted.
Results
The following case describes the development of angioedema in a patient with an acute confusional syndrome on the second haloperidol IM administration for symptomatic control of agitation. Angioedema has been reported as an adverse effect of various antipsychotics such as clozapine, risperidone, ziprazidone and chlorpromazine, however, resulting from haloperidol administration is rare.
Conclusions
In long-term formulations sensitization testing is especially important but a single prior administration is not sufficient, a second controlled administration is essential to avoid this kind of fatal reactions.
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| first_indexed | 2024-03-11T07:44:08Z |
| format | Article |
| id | doaj.art-4c76aa26e5004342885fca8e751eb46e |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:44:08Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4c76aa26e5004342885fca8e751eb46e2023-11-17T05:08:00ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S480S48110.1192/j.eurpsy.2021.1284Angioedema with haloperidol - case reportA. Costa0S. Jesus1J. Alcafache2Psiquiatria E Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalPsiquiatria E Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalPsiquiatria E Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal Introduction Haloperidol is a high-potency first generation antipsychotic and one of the most frequently used antipsychotic medications. It is a potent central antagonist of type 2 dopamine receptors, with low alpha 1 adrenergic activity and has no antihistamine or anti-cholinergic activity. It is a widely used drug with proven efficacy. Angioedema is a very rare side effect, occurring in <1% of cases. Objectives Case report and reflection on its etiology Methods A Pubmed search was performed with the MeSH terms “haloperidol” and “Anaphylactic reactions”. Relevant articles obtained from the respective bibliographic references were also consulted. Results The following case describes the development of angioedema in a patient with an acute confusional syndrome on the second haloperidol IM administration for symptomatic control of agitation. Angioedema has been reported as an adverse effect of various antipsychotics such as clozapine, risperidone, ziprazidone and chlorpromazine, however, resulting from haloperidol administration is rare. Conclusions In long-term formulations sensitization testing is especially important but a single prior administration is not sufficient, a second controlled administration is essential to avoid this kind of fatal reactions. https://www.cambridge.org/core/product/identifier/S0924933821012840/type/journal_articleAngioedemaAnaphylactic reactionHaloperidol |
| spellingShingle | A. Costa S. Jesus J. Alcafache Angioedema with haloperidol - case report European Psychiatry Angioedema Anaphylactic reaction Haloperidol |
| title | Angioedema with haloperidol - case report |
| title_full | Angioedema with haloperidol - case report |
| title_fullStr | Angioedema with haloperidol - case report |
| title_full_unstemmed | Angioedema with haloperidol - case report |
| title_short | Angioedema with haloperidol - case report |
| title_sort | angioedema with haloperidol case report |
| topic | Angioedema Anaphylactic reaction Haloperidol |
| url | https://www.cambridge.org/core/product/identifier/S0924933821012840/type/journal_article |
| work_keys_str_mv | AT acosta angioedemawithhaloperidolcasereport AT sjesus angioedemawithhaloperidolcasereport AT jalcafache angioedemawithhaloperidolcasereport |