A Review of Disorders of Water Homeostasis in Psychiatric Patients

Riggs, Ann T.; Dysken, Maurice W.; Kim, Suck Won; Opsahl, John A.

doi:10.1016/s0033-3182(91)72084-7

Cited by 88 publications

(48 citation statements)

References 103 publications

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“…The physiology of thirst is a highly complex process that must be controlled by a variety of somatomotor, autonomic, and endocrine responses. Increases in plasma osmolality and decreases in plasma volume are the most important stimuli to increase thirst and vasopressin release (4).…”

Section: Control Of Serum Sodiummentioning

confidence: 99%

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Sodium and Depression: Hypothetical Associations

Özdemir¹

2013

Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychophar

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Section: Control Of Serum Sodiummentioning

confidence: 99%

“…One of the most important roles of AVP is to regulate the retention of water, thus concentrating the urine and reducing urine volume (4,5).…”

Section: Vasopressinmentioning

confidence: 99%

Sodium and Depression: Hypothetical Associations

Özdemir¹

2013

Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychophar

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“…Etiological theories on polydipsia in psychiatric pa tients, as discussed in reviews (Riggs et al 1991;11-lowsky and Kirch 1988), do not offer a comprehensive model to explain polydipsia and hyponatremia. Gold man (1991) commented that the etiology of polydipsia is unknown, and there is no defInitive treatment for it (Crammer 1991).…”

Section: Classificationmentioning

confidence: 99%

Neuroendocrine Factors Influencing Polydipsia in Psychiatric Patients: An Hypothesis

Verghese

León

Simpson

1993

Neuropsychopharmacol

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Polydipsia and water intoxication cause considerable morbidity and mortality in chronic psychiatric patients. Polydipsia in psychiatric patients has been described si nce the 1930s prior to the use of neuroleptics, but sys te matic study of the disorder has been done mostly in th e last two decades. There are many names for the dis order, which include psychogenic polydipsia (Bauer 1925), compulsive water drinking (Barlow and De Wardener 1959), psychosis, intermittent hyponatremia and polydipsia (PIP) syndrome (Vieweg et al. 1985) and self-induced water intoxication (Hobson and English 1963). The main purpose of this paper is to propose an hypothesis about the pathophysiology of the disorder and to reconceptualize some of the thinking about it.

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“…Riggs et al [9] recently reviewed drug-induced SIAD in psychiatric patients and cited only four psychotropic drugs for which water loading or rechallenge convincingly demonstrated a causative role: amitriptyline, thiothixene, haloperidol and desipramine.…”

Section: Discussionmentioning

confidence: 99%

Syndrome of Inappropriate Antidiuresis Seen Twice in Eight Years.

et al. 1995

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Abstract.We present a rare case of a 66-year-old woman with the syndrome of inappropriate antidiuresis (SIAD) accompanied by an empty sella whose symptoms were seen twice in the eight years after the administration of non-steroidal anti-inflammatory drugs (NSAID) or prochlorperazine.No diuresis or suppression of the plasma level of vasopressin (AVP) was observed after water loading upon cessation of the causative agents. Suppression of the renin-aldosterone system and a low plasma level of atrial natriuretic peptide (ANP) were observed during natriuresis. The plasma levels of AVP were increased after water loadings.Restriction of water intake ameliorated the symptoms and reduced hyponatremia. These findings suggest that NSAID or prochlorperazine caused overt SIAD twice in eight years. The water loading test itself stimulated the release of AVP and a suppression of the renin-aldosterone system played a more important role in natriuresis than ANP in this case.

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A Review of Disorders of Water Homeostasis in Psychiatric Patients

Cited by 88 publications

References 103 publications

Sodium and Depression: Hypothetical Associations

Sodium and Depression: Hypothetical Associations

Neuroendocrine Factors Influencing Polydipsia in Psychiatric Patients: An Hypothesis

Syndrome of Inappropriate Antidiuresis Seen Twice in Eight Years.

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