Psychiatry 板


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为了避免打扰到大众,因此以下以英文发言︰ In this two weeks our rehabilitation center in Kaohsiung were dead two patients rapidly due to NMS,we blocked messages quickly in order to prevention causing panic with others patients, but now the other three patients appear uncomfortable phenomenon. One of three appear urinary incontinence and we sent him to emergency room. Such events let us must to asking if it happening in other cities? These two dead patient had been using Clozapine and uncomfortable patients using Resiperidone, according many of psychiatry papers indicated Clozapine、 Olanzapine and Resiperidone been classified as high-risk drug, especially Clozapine and Olanzapine can be induced between the CYP 1A2、2D6 and 3A4 inhibitors. Recent these dead patient constantly thirsty and drink very much, at two weeks ago one happened high blood glucose to 1700 and low blood pressure then he fell into coma, however we sent to ER the residency still been pronounced dead. After three days ago another ones only 18 years old were appearing too low blood pressure and high blood glucose then we sent to ER but also still dead,the residency said the dead reason were NMS while this patient's psychiatrist denied. Now our staff fall into tense and requiring all the patients whom using Clozapine、Olanzapine and Resiperidone return to visits and asking their doctors if can change their drugs to other more safe drugs. But another question was these drugs been changed from foreign imports to Taiwan made in 2015,and their doctors asking if using feel uncomfortable? At initial thay have no any unusual form but suddenly deterioration,and at last led to dead. Now the third patients suspected appearing NMS and we keep track of him. We ask at PTT if such events happened in other cities this year?Whether the change drugs correlated with the National Health Insurance Adminstration? Thanks for your attention!
1F:推 nneekkoo : 如果很紧急 可去医学生版跟医疗版问问! 02/18 23:00
2F:→ Yoshikia : 谢版主,我是问各县市有没有类似现象? 02/18 23:12
※ 编辑: Yoshikia (175.96.126.40), 02/19/2015 02:49:15
3F:推 mango2014 : 精神科医师:money money 02/19 07:31







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