Het syndroom van inadequate secretie van antidiuretisch hormoon (SIADH) tijdens het gebruik van de antipsychotica haloperidol en quetiapine

Translated title of the contribution: The syndrome of inappropriate antidiuretic hormone secretion (SIADH) during treatment with the antipsychotic agents haloperidol and quetiapine

O. A. Van Den Heuvel*, P. M. Bet, E. W C M Van Dam, A. M. Eeckhout

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A 45-year-old man with paranoid schizophrenia repeatedly developed hyponatraemia due to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), both after treatment with haloperidol and after taking quetiapine. This side effect did not occur subsequently during clozapine treatment. SIADH has been described in connection with almost all psychotropic drugs. Since the risk of developing SIADH is increased with increasing age, comorbid somatic disorders and polypharmacy, and the mean age of the psychiatric patient will further increase in the years to come, the physician should be alert to the risk factors and the clinical symptoms of disturbances in water balance; moreover, the proper differential diagnostic deliberations should be made. In case of increased risk, it is recommended to monitor the serum sodium during the first 1-4 weeks of pharmacotherapy.

Translated title of the contributionThe syndrome of inappropriate antidiuretic hormone secretion (SIADH) during treatment with the antipsychotic agents haloperidol and quetiapine
Original languageDutch
Pages (from-to)1944-1948
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Volume150
Issue number35
Publication statusPublished - 2 Sep 2006

Cite this