Evidence map›Paper›PMID 37952960›Full record

ArticleInternal medicine (Tokyo, Japan)2024

Polypharmacy-related Shock Symptoms and Complications Associated with Phenothiazine.

Shunsuke Nakamura, Shingo Masuda, Shinya Oda, Daisuke Yamakawa, Shota Yamaguchi, Tamaki Ishima, Natsuka Kimura, Kenichi Aizawa

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Shunsuke NakamuraDepartment of General Internal Medicine, Kamigoto Hospital, Japan.
Shingo MasudaDepartment of General Internal Medicine, Kamigoto Hospital, Japan.
Shinya OdaDepartment of General Internal Medicine, Kamigoto Hospital, Japan.
Daisuke YamakawaDepartment of General Internal Medicine, Kamigoto Hospital, Japan.
Shota YamaguchiDepartment of General Internal Medicine, Kamigoto Hospital, Japan.
Tamaki IshimaDivision of Clinical Pharmacology, Department of Pharmacology, Jichi Medical University, Japan.
Natsuka KimuraDivision of Clinical Pharmacology, Department of Pharmacology, Jichi Medical University, Japan.
Kenichi AizawaDivision of Clinical Pharmacology, Department of Pharmacology, Jichi Medical University, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes a case of shock symptoms in a 72-year-old woman with epilepsy who had been in a state of polypharmacy, taking multiple antipsychotic drugs. After receiving a normal dose of periciazine, she exhibited impaired consciousness, hypothermia, and hypotension and was admitted to hospital. Despite poor response to vasopressors, conservative treatment led to gradual improvement. Subsequent pharmacokinetic analysis showed non-toxic blood concentrations of periciazine, suggesting that even small doses of phenothiazines could result in toxic symptoms. This case highlights the importance of monitoring for adverse reactions when prescribing multiple antipsychotic drugs, particularly in older polypharmacy patients.

Indexed as

Antipsychotic AgentsPhenothiazinesPolypharmacyShockAgedEpilepsyFemaleHumansAntipsychotic AgentsphenothiazinePhenothiazinesadrenergic reversalblood concentrationdrug intoxicationphenothiazinepolypharmacy

Identifiers

PMID37952960
PMCPMC11239264
OpenAlexW4388608693

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.