Late-onset clozapine-induced neutropenia treated with lithium

Clozapine is a second-generation antipsychotic drug, proven to be effective in treatment-resistant schizophrenia. Among patients using clozapine; the incidence of neutropenia is approximately 3% and the incidence of agranulocytosis is approximately 1%. This side effect is diminishing after 18 weeks of drug initiation. Here, we present a case of clozapine-induced neutropenia in a schizophrenic patient seen after 7 years of clozapine use and its treatment with lithium supplementation.

___

Rajagopal S. Clozapine, agranulocytosis and benign ethnic neutropenia. Postgrad Med J 2005; 81:545-546.

Myles N, Myles H, Xia S, Large M, Kisely S, Galletly C, Bird R, Siskind D. Meta-analysis examining the epidemiology of clozapine-associated neutropenia. Acta Psychiatr Scand 2018; 138:101-109.

Simon L, Cazard F. Clozapine rechallenge after neutropenia in resistant schizophrenia: a review. Encephale 2016; 42:346-353. (French)

Meyer N, Gee S, Whiskey E, Taylor D, Mijovic A, Gaughran F, Shergill S, MacCabe JH. Optimizing outcomes in clozapine rechallenge following neutropenia: a cohort analysis. J Clin Psychiatry 2015; 76:e1410-e1416.

Alvir JM, Lieberman JA, Safferman AZ, Schwimmer JL, Schaaf JA. Clozapine-induced agranulocytosis. Incidence and risk factors in the United States. N Engl J Med 1993; 329:162-167.

Dunk LR, Annan LJ, Andrews CD. Rechallenge with clozapine following leucopenia or neutropenia during previous therapy. Br J Psychiatry 2006; 188:255-263.

Ghaznavi S, Nakic M, Rao P, Hu J, Brewer JA, Hannestad J, Bhagwagar Z. Rechallenging with clozapine following neutropenia: treatment options for refractory schizophrenia. Am J Psychiatry 2008; 165:813-818.

Cohen D, Monden M. White blood cell monitoring during longterm clozapine treatment. Am J Psychiatry 2013; 170:366-369.

Patel NC, Dorson PG, Bettinger TL. Sudden late onset of clozapine-induced agranulocytosis. Ann Pharmacother 2002; 36:1012-1015.

Raja M, Azzoni A, Maisto G. Late onset neutropenia associated with clozapine. J Clin Psychopharmacol 2011; 31:780-781.

Brunoni AR, Kobuti Ferreira LR, Gallucci-Neto J, Elkis H, Velloso ED, Vinicius Zanetti M. Lithium as a treatment of clozapineinduced neutropenia: a case report. Prog Neuropsychopharmacol Biol Psychiatry 2008; 32:2006-2007.

Sporn A, Gogtay N, Ortiz-Aguayo R, Alfaro C, Tossell J, Lenane M, Gochman P, Rapoport JL. Clozapine-induced neutropenia in children: management with lithium carbonate. J Child Adolesc Psychopharmacol 2003; 13:401-404.

Suraweera C, Hanwella R, de Silva V. Use of lithium in clozapineinduced neutropenia: a case report. BMC Res Notes 2014; 7:635.

Hazewinkel AW, Bogers JP, Giltay EJ. Add-on filgrastim during clozapine rechallenge unsuccessful in preventing agranulocytosis. Gen Hosp Psychiatry 2013; 35:576e11-576e12.

Khan AA, Harvey J, Sengupta S. Continuing clozapine with granulocyte colony-stimulating factor in patients with neutropenia. Ther Adv Psychopharmacol 2013; 3:266-271.

Lally J, Malik S, Whiskey E, Taylor DM, Gaughran FP, Krivoy A, Flanagan RJ, Mijovic A, MacCabe JH. Clozapine-associated agranulocytosis treatment with granulocyte colony-stimulating factor/granulocyte-macrophage colony stimulating factor: A systematic review. J Clin Psychopharmacol 2017; 37:441-446.

Myles N, Myles H, Clark SR, Bird R, Siskind D. Use of granulocytecolony stimulating factor to prevent recurrent clozapine-induced neutropenia on drug rechallenge: A systematic review of the literature and clinical recommendations. Aust N Z J Psychiatry 2017; 51:980-989.

Tigue CC, McKoy JM, Evens AM, Trifilio SM, Tallman MS, Bennett CL. Granulocyte-colony stimulating factor administration to healthy individuals and persons with chronic neutropenia or cancer: an overview of safety considerations from the Research on Adverse Drug Events and Reports project. Bone Marrow Transplant 2007; 40:185-192.

Paton C, Esop R. Managing clozapine-induced neutropenia with lithium. Psychiatric Bulletin 2005; 29:186-188.

Rosli ANM, Subbiah R, Maniam T. Clozapine re-challenge with lithium supplementation following clozapine-induced neutropenia. ASEAN Journal of Psychiatry 2014; 15:90-92.

Dumas R, Bardin P, Vedie C. Long-term treatment of clozapineinduced leukopenia with lithium: fast-onset agranulocytosis following lithium discontinuation. Prim Care Companion CNS Disord 2016; 18:1.

Lapierre G, Stewart RB. Lithium carbonate and leukocytosis. Am J Hosp Pharm 1980; 37:1525-1528.

Blier P, Slater S, Measham T, Koch M, Wiviott G. Lithium and clozapine-induced neutropenia/agranulocytosis. Int Clin Psychopharmacol 1998; 13:137-140.

Pinninti NR, Houdart MP, Strouse EM. Case report of longterm lithium for treatment and prevention of clozapineinduced neutropenia in an African American male. J Clin Psychopharmacol 2010; 30:219-221.

Aydin M, Ilhan BC, Calisir S, Yildirim S, Eren I. Continuing clozapine treatment with lithium in schizophrenic patients with neutropenia or leukopenia: brief review of literature with case reports. Ther Adv Psychopharmacol 2016; 6:33-38.
Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi-Cover
  • ISSN: 1018-8681
  • Yayın Aralığı: 4
  • Başlangıç: 1984
  • Yayıncı: Kare Yayıncılık
Sayıdaki Diğer Makaleler

Suicide by jumping from a height in a university hospital: two cases

ALİ ERCAN ALTINÖZ, Duriye Gizem TOSUN DİLCİ, FERDİ KÖŞGER, Altan EŞSİZOĞLU

The association between hope, anxiety, depression, coping strategies and perceived social support in patients with chronic kidney disease

BENGÜ YÜCENS, Vahap Ozan KOTAN, Nihal ÖZKAYAR, Zeynep KOTAN, Rabia YÜKSEL, Şenol BAYRAM, FATİH DEDE, EROL GÖKA

Problematic smartphone use and mental health problems: current state of research and future directions

Jon D. ELHAİ, Jason C. LEVİNE, Brian J. HALL

Post stroke depression and related factors

Mustafa Aziz YILDIRIM, KADRİYE ÖNEŞ

Even if its name changes, tobacco is tobacco: smokeless tobacco

Hilal UYGUR

Psychotic depression after obesity surgery and recovery with vitamin B12 replacement

Kübra SÖZER, YASEMİN GÖRGÜLÜ, MEHMET BÜLENT SÖNMEZ, Rugül KÖSE ÇINAR

Assessment of early maladaptive schemas in patients with obsessive-compulsive disorder

Fatih KIZILAĞAÇ, CEM CERİT

Intrinsic oscillations of auditory networks in schizophrenia and bipolar disorder

MURAT İLHAN ATAGÜN, Burak AKIN, Oktay ALGIN, Elif Muazzez ŞIKOĞLU, SERDAR SÜLEYMAN CAN, Semra ULUSOY KAYMAK, Ali ÇAYKÖYLÜ, Constance MOORE, Mary PHILIPS, Dost ÖNGÜR

The effect of self-efficacy and coping strategies on treatment motivation of individuals in the substance addiction group work process

Tuğba GÖRGÜLÜ

Late-onset clozapine-induced neutropenia treated with lithium

Pelin TAŞ DÜRMÜŞ, YASEMİN GÖRGÜLÜ, MEHMET BÜLENT SÖNMEZ, Rugül KÖSE ÇINAR