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December 1, 1994The British Journal of Psychiatry

Post-Mortem Antipsychotic Drug Concentrations and Unexplained Deaths

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Key result

Toxic concentrations of antipsychotic and/or antidepressant drugs were identified as the probable cause of death in 5 of 8 cases of sudden unexplained death, usually involving cardiac arrhythmias.

Why the study?

Are toxic concentrations of antipsychotic and/or antidepressant drugs associated with sudden unexplained death?

Population

8 medico-legal cases of sudden unexplained death in patients on antipsychotic drug treatment

Design

Case_series

Authors

NJNedzara JusicFairfield General HospitalMLMalcolm LaderPsychiatry Research Trust

Discussion

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Implication

May warrant drug level monitoring in unexplained deaths; leaves open causal link to antipsychotics.

Study Design

Type

Case Report (n=8)

Structured PICO

Are toxic concentrations of antipsychotic and/or antidepressant drugs associated with sudden unexplained death?

P
Population
8 medico-legal cases of sudden unexplained death reviewed to evaluate post-mortem antipsychotic drug concentrations.
E
Exposure
Antipsychotic and/or antidepressant drug treatment
O
Outcome
Post-mortem blood drug concentrations and mode of deathsafety

Toxic concentrations of antipsychotics and/or antidepressants may cause sudden unexpected death via cardiac arrhythmias, highlighting the need for careful monitoring and simple drug regimens.

Limitations

  • Problems evaluating post-mortem drug levels

Cite This Study

Jusic et al. (1994) conducted a case report in Sudden unexplained death (n=8). Antipsychotic and/or antidepressant drugs was evaluated on Toxic concentrations causing death. Toxic concentrations of antipsychotic and/or antidepressant drugs were identified as the probable cause of death in 5 of 8 cases of sudden unexplained death, usually involving cardiac arrhythmias.

synapsesocial.com/papers/6a6c1cfe26cff2e2f6f49d45https://doi.org/10.1192/bjp.165.6.787
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1AN EPIDEMIOLOGICAL STUDY OF SUDDEN AND UNEXPECTED DEATHS IN ADULTS1967 · 159 citations
  2. 2Cardiovascular Effects of Antidepressants1992 · 47 citations
  3. 3Sudden Death and Antipsychotic Drugs1984 · 25 citations
  4. 4Thioridazine-Induced Torsade de Pointes1983 · 95 citations
  5. 5Rapid Tranquillisation1992 · 126 citations