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BMJ Case Reports 2009; doi:10.1136/bcr.02.2009.1547
  • Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Antipsychotic-induced urinary dysfunction: anticholinergic effect or otherwise?

  1. Sahoo Saddichha1,
  2. Manoj Kumar2
  1. 1
    EMRI, Clinical Research, Hyderabad, Bhubaneswar, 500014, India
  2. 2
    IHBAS, Psychiatry, New Delhi, New Delhi, 110045, India
  1. Sahoo Saddichha, saddichha{at}gmail.com
  • Published 21 May 2009

Summary

Although urinary difficulties such as incontinence (UI) and retention (UR), reported with both typical and atypical antipsychotics, have been hypothesised as being a form of extrapyramidal side effects or due to anticholinergic side effects, we believe this may not be the case. We report here a male patient with bipolar disorder who developed urinary difficulties with antipsychotics, both typical and atypical, and in whom only aripiprazole seemed to work. We also hypothesise on the possible mechanisms of adverse urinary effects of antipsychotics.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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