Diabetes mellitus inducida por olanzapina: Caso clínico

Atypical antipsychotics are widely used in psychotic disorders, refractory to conventional neuroleptic agents. They induce minimal extra pyramidal side effects, probably due to their greater affinity for certain dopaminergic receptors. However, this polyreceptor affinity may be responsible for the development of other side effects. We report a 48 years old male drinker and addicted to cocaine, that after two months of Olanzapine use, developed a severe diabetes mellitus with fasting blood glucose values reaching 514 mg/dl. When he was admitted to the hospital, physical examination was normal and his body mass index was 28 kg/m2. Olanzapine was discontinued and blood glucose values gradually returned to normal. After two months of follow up, the patient is on dietary treatment and with a fasting glucose of 132 mg/dl (Rev Méd Chile 2001; 129: 1183-85)

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Main Authors: Rojas G,Paula, Arancibia S,Pablo, Bravo S,Verónica, Varela G,Susana
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2001
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001000011
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spelling oai:scielo:S0034-988720010010000112005-11-14Diabetes mellitus inducida por olanzapina: Caso clínicoRojas G,PaulaArancibia S,PabloBravo S,VerónicaVarela G,Susana Antipsychotic Agents Diabetes Mellitus Drug Toxicity Atypical antipsychotics are widely used in psychotic disorders, refractory to conventional neuroleptic agents. They induce minimal extra pyramidal side effects, probably due to their greater affinity for certain dopaminergic receptors. However, this polyreceptor affinity may be responsible for the development of other side effects. We report a 48 years old male drinker and addicted to cocaine, that after two months of Olanzapine use, developed a severe diabetes mellitus with fasting blood glucose values reaching 514 mg/dl. When he was admitted to the hospital, physical examination was normal and his body mass index was 28 kg/m2. Olanzapine was discontinued and blood glucose values gradually returned to normal. After two months of follow up, the patient is on dietary treatment and with a fasting glucose of 132 mg/dl (Rev Méd Chile 2001; 129: 1183-85)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.10 20012001-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001000011es10.4067/S0034-98872001001000011
institution SCIELO
collection OJS
country Chile
countrycode CL
component Revista
access En linea
databasecode rev-scielo-cl
tag revista
region America del Sur
libraryname SciELO
language Spanish / Castilian
format Digital
author Rojas G,Paula
Arancibia S,Pablo
Bravo S,Verónica
Varela G,Susana
spellingShingle Rojas G,Paula
Arancibia S,Pablo
Bravo S,Verónica
Varela G,Susana
Diabetes mellitus inducida por olanzapina: Caso clínico
author_facet Rojas G,Paula
Arancibia S,Pablo
Bravo S,Verónica
Varela G,Susana
author_sort Rojas G,Paula
title Diabetes mellitus inducida por olanzapina: Caso clínico
title_short Diabetes mellitus inducida por olanzapina: Caso clínico
title_full Diabetes mellitus inducida por olanzapina: Caso clínico
title_fullStr Diabetes mellitus inducida por olanzapina: Caso clínico
title_full_unstemmed Diabetes mellitus inducida por olanzapina: Caso clínico
title_sort diabetes mellitus inducida por olanzapina: caso clínico
description Atypical antipsychotics are widely used in psychotic disorders, refractory to conventional neuroleptic agents. They induce minimal extra pyramidal side effects, probably due to their greater affinity for certain dopaminergic receptors. However, this polyreceptor affinity may be responsible for the development of other side effects. We report a 48 years old male drinker and addicted to cocaine, that after two months of Olanzapine use, developed a severe diabetes mellitus with fasting blood glucose values reaching 514 mg/dl. When he was admitted to the hospital, physical examination was normal and his body mass index was 28 kg/m2. Olanzapine was discontinued and blood glucose values gradually returned to normal. After two months of follow up, the patient is on dietary treatment and with a fasting glucose of 132 mg/dl (Rev Méd Chile 2001; 129: 1183-85)
publisher Sociedad Médica de Santiago
publishDate 2001
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001000011
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