精神科醫師請進 - 精神疾病

為了避免打擾到大眾，因此以下以英文發言︰


In this two weeks our rehabilitation center in Kaohsiung were dead two
patients rapidly due to NMS,we blocked messages quickly in order to
prevention causing panic with others patients, but now the other three
patients appear uncomfortable phenomenon. One of three appear urinary
incontinence and we sent him to emergency room. Such events let us must to
asking if it happening in other cities?



These two dead patient had been using Clozapine and uncomfortable patients
using Resiperidone, according many of psychiatry papers indicated Clozapine、
Olanzapine and Resiperidone been classified as high-risk drug, especially
Clozapine and Olanzapine can be induced between the CYP 1A2、2D6 and 3A4
inhibitors. Recent these dead patient constantly thirsty and drink very much,
at two weeks ago one happened high blood glucose to 1700 and low blood
pressure then he fell into coma, however we sent to ER the residency still
been pronounced dead. After three days ago another ones only 18 years old
were appearing too low blood pressure and high blood glucose then we sent to
ER but also still dead,the residency said the dead reason were NMS while this
patient's psychiatrist denied. Now our staff fall into tense and requiring
all the patients whom using Clozapine、Olanzapine and Resiperidone return to
visits and asking their doctors if can change their drugs to other more safe
drugs.


But another question was these drugs been changed from foreign imports to
Taiwan made in 2015,and their doctors asking if using feel uncomfortable？
At initial thay have no any unusual form but suddenly deterioration,and at
last led to dead. Now the third patients suspected appearing NMS and we keep
track of him. We ask at PTT if such events happened in other cities this
year？Whether the change drugs correlated with the National Health Insurance
Adminstration？

Thanks for your attention！


※ 編輯: Yoshikia (175.96.126.40), 02/19/2015 02:49:15