Abstract
AbstractTwo case reports are presented in which lithium and sulpiride were used jointly in patients with affective disorder. In both cases significant extrapyramidal reactions occurred. The reactions were successfully treated by withdrawing the drug combination. It is suggested that the adverse events relate to the mechanism of action of sulpiride which, unlike other neuroleptics, requires sodium to bind to the dopamine receptor. Lithium may substitute for sodiumenhancing sulpiride binding.
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More From: Human Psychopharmacology: Clinical and Experimental
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