@article{ref1,
title="Death due to asphyxia linked to antipsychotic drugs",
journal="Nippon Hoigaku Zasshi",
year="1995",
author="Jitsufuchi, N. and Nagata, Toshiaki and Kudo, K. and Imamura, Tomohiko and Tokunaga, H.",
volume="49",
number="4",
pages="255-259",
abstract="A 46-year-old man with schizophrenia, died in hospital. Autopsy revealed numerous facial injuries and the direct cause of death was apparently asphyxia as a large amount of coagulated blood was present in the lower part of the trachea and bronchi. The blood derived from a lacerated wound of the mouth. The question was raised as to why expectoration was impossible and a toxicological analysis was directed to the antipsychotic drugs allegedly prescribed by doctors at the hospital. Using gas chromatography and gas chromatography/mass spectrometry, four different antipsychotic drugs including chlorpromazine, levomepromazine, zotepine and haloperidol were identified in the whole blood and tissues with concentrations being 1.91, 0.75, 0.61 and 0.48 micrograms/g in the blood, respectively. These levels were toxic to the extent that he could not expectorate and blood accumulating in the airway led to asphyxia and death.<p /><p>Language: en</p>",
language="en",
issn="0047-1887",
doi="",
url="http://dx.doi.org/"
}