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Yıl:2016; Cilt: 6; Sayı: 3>> Özet
TAM METİN
Journal of Mood Disorders; 2016;6(3):168-171
Olanzapin kullanımına bağlı periferik ödem vakası
M Şahpolat, ÜS Çöpoğlu, MH Kokaçya
Kilis Devlet Hastanesi, Kilis
Periferik ödemin, sistemik hastalıklar, protein eksikliği, uzun süre hareketsizlik, kanser hastalıkları ve non-steroid antienflamatuar ilaçlar, steroidler ve bazı antihipertansif ilaçların kullanımı gibi pek çok tıbbi nedenle ortaya çıkabilir. Olanzapin şizofreni, bipolar affektif bozukluk ve diğer psikiyatrik hastalıkların tedavisinde başarısı kanıtlanmış bir atipik antipsikotik ilaçtır. Olanzapin’e bağlı kilo artışı, uyku hali, asteni, kabızlık, dispepsi, ağız kuruluğu ve baş dönmesi en sık gelişen yan etkiler olarak sayılabilir. Olanzapin’e bağlı ödemin oluş mekanizmaları ile ilgili bilgiler varsayım düzeyinde devam etmekte ve olanzapinin indüklediği reseptör profili ile ilgili olduğu bildirilmektedir. Bu yazıda, olanzapinin diğer yan etkilerine göre daha az gözlenen ve az bilinen periferik ödem yan etkisine dikkat çekilmekte, olanzapinle ilişkili olduğu düşünülen bir periferik ödem vakası sunulmuş ve ödemin muhtemel oluş mekanizmaları tartışılmıştır.
Peripheral edema due to olanzapine use: A case report
Peripheral edema is associated with multiple medical etiologies (systemic disorders, hypoproteinemia, longterm immobility, cancer diseases) and drugs (nonsteroidal anti-inflammatory drugs, antihypertensives, steroids, and immunsupressive agents). Olanzapine is an atypical antipsychotic medication approved for treatment of schizophrenia, bipolar affective disorder and other psychiatric disorder. Olanzapine-induced side effects is also presented with weight gain, drowsiness, asthenia, constipation, dyspepsia, dry mouth, and dizziness. Olanzapine-induced edema formation mechanisms at the level of information about the ongoing assumptions and olanzapine-induced receptor is reported to be associated with the profile. In this case report, a case of olanzapineinduced peripheral edema, not known more than the other side effects of olanzapine has been presented and probable mechanisms of edema has been discussed.

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