Very Low Dose Amitriptyline for Clozapine-Associated Sialorrhea

Title:Very Low Dose Amitriptyline for Clozapine-Associated Sialorrhea

Volume: 11 Issue: 3

Author(s): Siddhartha Sinha, Jayati Simlai and Samir K. Praharaj

Affiliation:

Keywords: Clozapine, amitriptyline, sialorrhea, hypersalivation.

Abstract: Clozapine is an antipsychotic drug recommended for resistant schizophrenia, but its widespread use is limited by adverse effects. Sialorrhea is a common and troublesome adverse effect seen with clozapine which leads to poor compliance. Several treatment strategies are advocated, no single treatment is considered superior. Amitriptyline, a tricyclic antidepressant, has been found to be useful for clozapine-associated sialorrhea at 87–100 mg per day. We report the effect of very low dose amitriptyline (10 mg per day) in a patient with clozapine-associated sialorrhea. There was rapid and complete resolution of sialorrhea after three days without any emergent adverse effect.

Cite this article as:

Sinha Siddhartha, Simlai Jayati and Praharaj K. Samir, Very Low Dose Amitriptyline for Clozapine-Associated Sialorrhea, Current Drug Safety 2016; 11 (3) . https://dx.doi.org/10.2174/1574886311666160426130252