Clozapine is regarded as a second-line and in some cases last-line antipsychotic known for its common life-threatening side effects, such as agranulocytosis, constipation and cardiomyopathies, but rarely haematemesis. We report a case of severe haemetemesis in a chronic schizophrenic patient managed with clozapine. The patient was a 46-year-old male being managed for chronic schizophrenia with treatment resistance who developed sudden severe haematemesis following commencement of clozapine for 6 weeks. The patient had 1.1 l of blood transfusion. The relevant literature is reviewed. Clozapine can be associated with a life-threatening haematemesis. Psychiatrists and other medical specialists need to be alert to the fatality of clozapine-induced haematemesis in the treatment of psychiatric disorders.
Aims: This study was designed to investigate the effects of crude ethanol and partition extracts of Newbouldia laevis leaves on excitotoxin-induced stereotypy in mice.
Place and Duration of Study: The study was carried out in the Laboratory of the Department of Pharmacology and Therapeutics, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria, between July and October, 2020.
Methodology: Following pretreatment of mice with graded doses (150 - 600 mg/kg b.w) of crude extract (NLE) and partition fractions [n-butanol partition fraction (BPE), n-hexane partition fraction (HPE) and ethylacetate partition fraction (EAPE)] of Newbouldia laevis leaves, stereotypy was induced by the administration of methamphetamine (35 mg/kg b.w) and apomorphine (5mg/kg b.w.), and stereotypy scores were recorded thereafter. The effects of BPE and NLE on catalepsy were also determined. Statistical significance was taken at P<0.05
Results: In both apomorphine and methamphetamine models, stereotyped behavior was significantly decreased (P<0.05) in the treated mice compared to the control. The degree of protection offered by Newbouldia laevis extracts against excitotoxin-induced stereotypy was in the order: BPE>NLE>EAPE>HPE. In the catalepsy test, BPE (600 mg/kg b.w) significantly potentiated haloperidol-induced catalepsy compared to control (P<0.05). Likewise, NLE significantly increased catalepsy compared to control (P<0.05).
Conclusion: Findings from this study indicate that crude and partition extracts of Newbouldia laevis leaves attenuated stereotypy in methamphetamine and apomorphine models, and thus could be effective remedy for schizophrenia-like psychosis.
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