Open AccessAntipsychotic-induced urinary dysfunction: anticholinergic effect or otherwise?
Author(s) -
Sahoo Saddichha,
Manish Kumar
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.02.2009.1547
Subject(s) - anticholinergic , aripiprazole , medicine , urinary incontinence , antipsychotic , adverse effect , atypical antipsychotic , bipolar disorder , side effect (computer science) , urinary retention , urinary system , psychiatry , schizophrenia (object oriented programming) , urology , lithium (medication) , computer science , programming language
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.