
Psychosomatics 48:530-531, December 2007
doi: 10.1176/appi.psy.48.6.530
© 2007 Academy of Psychosomatic Medicine
Quetiapine-Induced Leucopenia and Thrombocytopenia
B. Ravi Shankar, D.P.M., D.N.B. (Psych)
Received December 15, 2006; revised December 21, 2006; accepted January 7, 2007. From the Krishna Nursing Home, Tamil Nadu, India. Send correspondence and reprint requests to Dr. Shankar, 6AB, Swaranambika Lay Out, Coimbatore 641009, Tamil Nadu, India. e-mail: drravishankarbalu{at}gmail.com
© 2007 The Academy of Psychosomatic Medicine
Antipsychotic drugs can cause neutropenia, which can progress to life-threatening agranulocytosis if drug therapy is not interrupted. The newer atypical antipsychotics are reputedly without adverse hematological effects. Quetiapine is a recently introduced atypical antipsychotic. It is a dibenzothiazepine derivative and shows similarities with clozapine in that it is characterized by high 5-HT2-relative-to-DA2 receptor affinity. Although adverse effects are usually mild, the author reports here a case of leucocytopenia and thrombocytopenia with quetiapine treatment that required its discontinuation.
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