TY - JOUR PY - 1991// TI - Neuroleptic malignant syndrome: a complication of neuroleptics and cocaine abuse JO - Psychiatric quarterly A1 - Akpaffiong, M. J. A1 - Ruiz, P. SP - 299 EP - 309 VL - 62 IS - 4 N2 - One hundred and sixty psychiatric patients on Neuroleptics, with and without a history of substance abuse were daily monitored in order to establish the incidence of neuroleptic malignant syndrome in these two groups. Four (5.1%) of the cocaine abusers and none of the non-cocaine abusers developed neuroleptic malignant syndrome when treated with neuroleptics. Thus we argue that psychiatric patients with a history of cocaine abuse may be more at risk of developing neuroleptic malignant syndrome when treated with neuroleptics, possibly associated with the blockade of dopamine (D2-receptors) by neuroleptics and the activation of dopamine/5-HT receptors by cocaine-induced dopamine.
Language: en
LA - en SN - 0033-2720 UR - http://dx.doi.org/ ID - ref1 ER -