Case Report
Loxapine in the Treatment of Manic and Psychotic Symptoms in an Individual Intolerant to Multiple Mood-Stabilizing and Antipsychotic Medications
Table 2
Vital sign values with antipsychotics during our patient’s admission.
| Antipsychotic | Hospital day (HD) | Dose | Temperature (degrees Celsius) | Blood pressure (systolic in mmHg/diastolic in mmHg) | Heart rate (beats per minute) |
| Risperidone | 20 | 1 mg QHS | 36.8 | 136/65 | 117 | 21 | 1 mg QHS | 36.9 | 109/59 | 88 | 22 | 2 mg QHS | 36.8 | 119/77] | 98 | 23 | 3 mg QHS | 37.4 | 108/66 | 109 | 24 | 4 mg QHS | Pt refused | 118/69 | 122 | 25 | 4 mg QHS | Pt refused | Pt refused | Pt refused | 26 | 4 mg QHS | 36.8 | 137/83 | 102 | 27 | 5 mg QHS | 36.7 | 105/71 | 111 | 28 | 6 mg QHS | 36.9 | 104/59 | 104 | 29 | 6 mg QHS | 36.8 | 110/70 | 107 | 30 | 6 mg QHS | 36.6 | 115/50 | 130 | 31 | 6 mg QHS | Pt refused | 102/55 | 126 | 32 | 6 mg QHS | 37.1 | 116/64 | 89 | 33 | 6 mg QHS | 36.7 | 139/57 | 114 | 34 | 6 mg QHS | Pt refused | 113/63 | 112 | 35 | 6 mg QHS | 37 | 116/76 | 88 | 36 | 6 mg QHS | Pt refused | Pt refused | Pt refused | 37 | 6 mg QHS | 36.6 | 110/55 | 106 | 38 | 6 mg QHS | 36.9 | 116/68 | 94 | 39 | 6 mg QHS | 36.5 | 104/69 | 112 | 40 | 6 mg QHS | 36.5 | 113/62 | 92 | 41 | 6 mg QHS | 36.9 | 107/60 | 103 | 42 | 6 mg QHS | 36.5 | 104/62 | 91 | 43 | 6 mg QHS | 36.7 | 117/63 | 103 | 44 | 6 mg QHS | 36.7 | 133/57 | 100 | 45 | 6 mg QHS | 37 | 112/69 | 79 | 46 | 6 mg QHS | 37 | 111/67 | 99 | 47 | 6 mg QHS | 36.7 | 112/60 | 89 | 48 | 6 mg QHS | 36.7 | 134/89 | 109 | 49 | 6 mg QHS | 36.5 | 107/57 | 110 | 50 | 6 mg QHS | 36.9 | 107/63 | 80 | 51 | 6 mg QHS | 36.8 | 102/58 | 89 | 52 | 6 mg QHS | 36.9 | 123/61 | 112 | 53 | 6 mg QHS | 36.9 | 80/53 | 128 | 54 | 6 mg QHS | 38.9 | 93/52 | 97 | 55 | 6 mg QHS | 39.1 | 96/50 | 110 | 56 | 6 mg QHS | 39.6 | 99/50 | 126 | 57 | 6 mg QHS | 36.9 | 98/52 | 102 | 58 | 6 mg QHS | 37.3 | 85/52 | 107 | 59 | 6 mg QHS | 37.5 | 92/50 | 105 | 60 | 6 mg QHS | 37.1 | 97/41 | 106 | 61 | 6 mg QHS | 37.4 | 108/41 | 107 | 62 | 6 mg QHS | 37.1 | 97/52 | 111 | 63 | 6 mg QHS | 39.5 | 90/42 | 121 | 64 | (held) | 39.5 | 94/47 | 156 | 65 | (held) | 38.3 | 99/57 | 90 | 66 | (held) | 38.2 | 97/55 | 90 | 67 | (held) | 38.2 | 89/52 | 82 | 68 | (held) | 38 | 88/53 | 80 |
| Clozapine | 69 | 6.25 mg QHS | 37.2 | 93/54 | 77 | 70 | 12.5 mg QHS | 36.5 | 135/90 | 103 | 71 | 12.5 mg BID | 37.6 | 107/57 | 96 | 72 | 12.5 mg BID | 36.6 | 118/60 | 89 | 73 | 12.5 mg BID | 36.8 | 103/58 | 86 | 74 | 25 mg QPM | Pt refused | Pt refused | Pt refused | 75 | 12.5 mg QAM, 25 mg QHS | 36.6 | 102/61 | 74 | 76 | 25 mg BID | 36.7 | 106/63 | 75 | 77 | 25 mg BID | 36.5 | 136/83 | 147 | 78 | 25 mg BID | 36.5 | 102/55 | 84 | 79 | 25 mg BID | 37.1 | 94/52 | 69 |
| Loxapine | 80 | 10 mg QHS | 36.7 | 109/64 | 68 | 81 | 10 mg QHS | 36.4 | 107/59 | 80 | 82 | 10 mg QHS | 36.5 | 112/58 | 98 | 83 | 10 mg BID | 37.2 | 114/66 | 95 | 84 | 10 mg QAM, 20 mg QHS | 36.7 | 111/64 | 88 | 85 | 10 mg QAM, 20 mg QHS | 36.4 | 95/54 | 82 | 86 | 20 mg BID | 36.7 | 114/67 | 104 | 87 | 20 mg BID | 36.4 | 117/69 | 85 | 88 | 20 mg BID | 36.7 | 101/51 | 97 | 89 | 20 mg BID | 36.7 | 111/62 | 88 | 90 | 20 mg BID | 36.7 | 161/100 | 134 | 91 | 20 mg BID | 36.6 | 110/72 | 108 | 92 | 20 mg BID | 37.1 | 99/64 | 125 | 93 | 20 mg BID | 36.9 | 127/76 | 112 | 94 | 20 mg BID | 36.9 | 127/61 | 100 | 95 | 20 mg BID | 36.7 | 118/71 | 117 | 96 | 20 mg BID | 36.3 | 127/80 | 82 | 97 | 20 mg BID | 36.8 | 120/82 | 110 | 98 | 50 mg QHS | 36.5 | 118/85 | 92 | 99 | 50 mg QHS | 36.8 | 135/71 | 102 | 100 | 50 mg QHS | 36.8 | 122/73 | 64 | 101 | 50 mg QHS | 36.5 | 130/79 | 101 | 102 | 50 mg QHS | 36.6 | 138/90 | 108 | 103 | 50 mg QHS | Pt refused | Pt refused | Pt refused | 104 | 50 mg QHS | 37.4 | 133/79 | 97 | 105 | 50 mg QHS | 37.8 | 135/97 | 120 | 106 | 50 mg QHS | 36.8 | 128/94 | 98 | 107 | 50 mg QHS | 36.1 | 129/90 | 88 | 108 | 50 mg QHS | 36.7 | 144/75 | 100 | 109 | 50 mg QHS | 37 | 123/79 | 103 | 110 | 50 mg QHS | 37.1 | 114/67 | 93 | 111 | 50 mg QHS | 36.8 | 132/75 | 88 | 112 | 50 mg QHS | 37 | 109/80 | 99 | 113 | 50 mg QHS | 36.8 | 128/78 | 93 | 114 | 50 mg QHS | 36.4 | 143/69 | 112 | 115 | 50 mg QHS | 36.7 | 121/68 | 104 | 116 | 50 mg QHS | Pt refused | Pt refused | Pt refused | 117 | 50 mg QHS | 37.1 | 132/73 | 103 | 118 | 50 mg QHS | 36 | 142/78 | 101 | 119 | 50 mg QHS | 36.8 | 132/71 | 110 | 120 | 50 mg QHS | 36.5 | 119/68 | 88 | 121 | 50 mg QHS | 36.6 | 106/64 | 99 | 122 | 50 mg QHS | 36.9 | 123/84 | 108 | 123 | 50 mg QHS | 36.5 | 120/72 | 101 | 124 | 50 mg QHS | 36.6 | 157/78 | 79 | 125 | 50 mg QHS | 37.9 | 111/67 | 102 | 126 | 50 mg QHS | Pt refused | Pt refused | Pt refused | 127 | 50 mg QHS | 37.1 | 115/80 | 109 | 128 | 50 mg QHS | Pt refused | 118/67 | 106 | 129 | 50 mg QHS | Pt refused | Pt refused | Pt refused | 130 | 50 mg QHS | 36.1 | 130/71 | 95 | 131 | 50 mg QHS | 36.7 | 176/73 | 122 | 132 | 25 mg QAM, 50 mg QHS | Pt refused | Pt refused | Pt refused | 133 | 25 mg QAM, 50 mg QHS | 37.2 | 106/63 | 114 | 134 | 50 mg BID | 36.7 | 105/65 | 116 | 135 | 50 mg BID | 36.6 | 108/66 | 115 | 136 | 50 mg BID | 36.9 | 123/88 | 113 | 137 | 50 mg BID | 36.7 | 136/81 | 102 | 138 | 50 mg BID | 36.8 | 148/75 | 98 | 139 | 50 mg QAM, 75 mg QHS | Pt refused | Pt refused | Pt refused | 140 | 50 mg QAM, 75 mg QHS | 36.9 | 123/88 | 113 | 141 | 50 mg QAM, 75 mg QHS | 36.7 | 136/81 | 102 | 142 | 50 mg QAM, 75 mg QHS | 36.5 | 115/59 | 103 | 143 | 50 mg QAM, 75 mg QHS | Pt refused | Pt refused | Pt refused | 144 | 50 mg QAM, 75 mg QHS | 36 | 124/84 | 123 | 145 | 50 mg QAM, 75 mg QHS | 36.6 | 132/62 | 89 |
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mg: milligrams; mmHg: millimeters of mercury; pt: patient; QHS: at bedtime; QAM: every morning; BID: twice daily.
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