Olanzapine Induced Pedal Edema: A Prudent and Rare Side Effect: A Case Report

Puneet Kumar Soni
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Abstract

Premarketing trials of olanzapine reported an occurrence of peripheral edema of 3%. Olanzapine belongs to atypical antipsychotics and is considered superior to its traditional congeners. Here we document a case of bilateral pedal edema which was developed secondary to olanzapine use, where all the systemic causes of pedal edema were ruled out. Pedal edema regressed on decreasing the dose of olanzapine and completely gets resolved after stopping the drug. So, we attribute the pedal edema to olanzapine drug therapy. As the definitive cause of pedal edema along with its consequences are not known, so stringent monitoring of this drug’s adverse effects is needed.
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奥氮平引起的踏板水肿:一例谨慎且罕见的副作用
奥氮平上市前的试验报告外周水肿发生率为3%。奥氮平属于非典型抗精神病药物,被认为优于传统的同类药物。在这里,我们记录了一个双侧脚水肿的病例,这是继发于奥氮平的使用,所有的全身原因的脚水肿被排除在外。随着奥氮平剂量的减少,足部水肿逐渐消退,停药后足部水肿完全消退。因此,我们将脚蹬水肿归因于奥氮平药物治疗。由于足底水肿的确切原因及其后果尚不清楚,因此需要对该药的不良反应进行严格监测。
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