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Published on: February 4, 2014
Clozapine intoxication due to cessation of smoking and infection
E M ten Bokum1, H L A van de Oever, D W S Radstake
1Department of Clinical Pharmacy, Deventer Hospital, Deventer, the Netherlands.
Abstract:
We report on a patient on clozapine treatment who was admitted to our hospital with pneumonia. He had stopped smoking a few weeks before admission. The serum clozapine rose to a toxic level, most likely due to the combination of infection and smoking cessation. Physicians and pharmacists are often not aware of risk factors for decreased metabolism of clozapine.
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