Priapism in a 31-Year-Old Male With Paranoid Schizophrenia.

alpha-1 adrenergic agonist medication side effects nonischemic priapism paranoid schizophrenia second-generation antipsychotics

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Nov 2023
Historique:
accepted: 17 11 2023
medline: 19 12 2023
pubmed: 19 12 2023
entrez: 19 12 2023
Statut: epublish

Résumé

Priapism is a painful and emergent side effect that has been linked to some antipsychotics and other psychiatric medications, most often trazodone. This is thought to be due to some level of alpha-1 adrenergic blockade by these medications. Aripiprazole is an atypical antipsychotic with notably weak alpha-1 adrenergic antagonism. Thus, we report on a unique case of aripiprazole-induced priapism in a patient with schizophrenia and recurrent episodes of antipsychotic-induced priapism. This study offers insight into the potential mechanism of aripiprazole-induced priapism and offers alternative medications, such as olanzapine and lumateperone, to treat the patient's ongoing psychotic disorder.

Identifiants

pubmed: 38111440
doi: 10.7759/cureus.48978
pmc: PMC10726096
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e48978

Informations de copyright

Copyright © 2023, Espiridion et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Eduardo D Espiridion (ED)

Psychiatry, West Virginia School of Osteopathic Medicine, Lewisburg, USA.
Psychiatry, Drexel University College of Medicine, Philadelphia, USA.
Psychiatry, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Psychiatry, Reading Hospital, West Reading, USA.

Sonam Saxena (S)

Psychiatry, Drexel University College of Medicine, Philadelphia, USA.

Classifications MeSH