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Verfasst von:Bergemann, Niels [VerfasserIn]   i
 Abu-Tair, Fatima [VerfasserIn]   i
 Aderjan, Rolf [VerfasserIn]   i
 Kopitz, Jürgen [VerfasserIn]   i
Titel:High clozapine concentrations in leukocytes in a patient who developed leukocytopenia
Verf.angabe:Niels Bergemann, Fatima Abu-Tair, Rolf Aderjan, Jürgen Kopitz
E-Jahr:2007
Jahr:23 March 2007
Umfang:4 S.
Fussnoten:Gesehen am 10.12.2020
Titel Quelle:Enthalten in: Progress in neuro-psychopharmacology & biological psychiatry
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1982
Jahr Quelle:2007
Band/Heft Quelle:31(2007), 5, Seite 1068-1071
ISSN Quelle:1878-4216
Abstract:Up to now direct toxic effects or immunological processes have been said to explain clozapine-induced agranulocytosis. However, more recent studies may suggest that not yet metabolized clozapine is taken up by leukocytes and transformed by oxidative processes to apoptosis-inducing metabolites. To verify this hypothesis the concentrations of clozapine were measured in the plasma and the leukocytes of a patient receiving clozapine who developed clozapine-induced leukocytopenia and in 10 patients receiving clozapine who did not show any serious adverse side effects. The patient who developed leukocytopenia showed clozapine concentrations in the leukocytes that were about 8 times higher than the mean clozapine concentrations in the leukocytes in the group of 10 patients receiving clozapine with no changes in the leukocyte count in the history. However, no major difference was found in the clozapine plasma concentrations. The results may suggest that patients at risk of developing clozapine-induced leukocytopenia show increased clozapine concentrations in the leukocytes although the clozapine plasma concentration is in the therapeutic range. It is assumed that changes or abnormalities of clozapine uptake at the cell membrane might play a role in the development of clozapine-induced leukocytopenia and/or agranulocytosis.
DOI:doi:10.1016/j.pnpbp.2007.03.009
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.pnpbp.2007.03.009
 Volltext: http://www.sciencedirect.com/science/article/pii/S0278584607001030
 DOI: https://doi.org/10.1016/j.pnpbp.2007.03.009
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Clozapine
 Clozapine concentrations in leukocytes
 Clozapine plasma concentration
 Clozapine transporter
 Clozapine-induced agranulocytosis
K10plus-PPN:1742414362
Verknüpfungen:→ Zeitschrift

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