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.

AntipsychoticHospital day (HD)DoseTemperature (degrees Celsius)Blood pressure (systolic in mmHg/diastolic in mmHg)Heart rate (beats per minute)

Risperidone201 mg QHS36.8136/65117
211 mg QHS36.9109/5988
222 mg QHS36.8119/77]98
233 mg QHS37.4108/66109
244 mg QHSPt refused118/69122
254 mg QHSPt refusedPt refusedPt refused
264 mg QHS36.8137/83102
275 mg QHS36.7105/71111
286 mg QHS36.9104/59104
296 mg QHS36.8110/70107
306 mg QHS36.6115/50130
316 mg QHSPt refused102/55126
326 mg QHS37.1116/6489
336 mg QHS36.7139/57114
346 mg QHSPt refused113/63112
356 mg QHS37116/7688
366 mg QHSPt refusedPt refusedPt refused
376 mg QHS36.6110/55106
386 mg QHS36.9116/6894
396 mg QHS36.5104/69112
406 mg QHS36.5113/6292
416 mg QHS36.9107/60103
426 mg QHS36.5104/6291
436 mg QHS36.7117/63103
446 mg QHS36.7133/57100
456 mg QHS37112/6979
466 mg QHS37111/6799
476 mg QHS36.7112/6089
486 mg QHS36.7134/89109
496 mg QHS36.5107/57110
506 mg QHS36.9107/6380
516 mg QHS36.8102/5889
526 mg QHS36.9123/61112
536 mg QHS36.980/53128
546 mg QHS38.993/5297
556 mg QHS39.196/50110
566 mg QHS39.699/50126
576 mg QHS36.998/52102
586 mg QHS37.385/52107
596 mg QHS37.592/50105
606 mg QHS37.197/41106
616 mg QHS37.4108/41107
626 mg QHS37.197/52111
636 mg QHS39.590/42121
64(held)39.594/47156
65(held)38.399/5790
66(held)38.297/5590
67(held)38.289/5282
68(held)3888/5380

Clozapine696.25 mg QHS37.293/5477
7012.5 mg QHS36.5135/90103
7112.5 mg BID37.6107/5796
7212.5 mg BID36.6118/6089
7312.5 mg BID36.8103/5886
7425 mg QPMPt refusedPt refusedPt refused
7512.5 mg QAM, 25 mg QHS36.6102/6174
7625 mg BID36.7106/6375
7725 mg BID36.5136/83147
7825 mg BID36.5102/5584
7925 mg BID37.194/5269

Loxapine8010 mg QHS36.7109/6468
8110 mg QHS36.4107/5980
8210 mg QHS36.5112/5898
8310 mg BID37.2114/6695
8410 mg QAM, 20 mg QHS36.7111/6488
8510 mg QAM, 20 mg QHS36.495/5482
8620 mg BID36.7114/67104
8720 mg BID36.4117/6985
8820 mg BID36.7101/5197
8920 mg BID36.7111/6288
9020 mg BID36.7161/100134
9120 mg BID36.6110/72108
9220 mg BID37.199/64125
9320 mg BID36.9127/76112
9420 mg BID36.9127/61100
9520 mg BID36.7118/71117
9620 mg BID36.3127/8082
9720 mg BID36.8120/82110
9850 mg QHS36.5118/8592
9950 mg QHS36.8135/71102
10050 mg QHS36.8122/7364
10150 mg QHS36.5130/79101
10250 mg QHS36.6138/90108
10350 mg QHSPt refusedPt refusedPt refused
10450 mg QHS37.4133/7997
10550 mg QHS37.8135/97120
10650 mg QHS36.8128/9498
10750 mg QHS36.1129/9088
10850 mg QHS36.7144/75100
10950 mg QHS37123/79103
11050 mg QHS37.1114/6793
11150 mg QHS36.8132/7588
11250 mg QHS37109/8099
11350 mg QHS36.8128/7893
11450 mg QHS36.4143/69112
11550 mg QHS36.7121/68104
11650 mg QHSPt refusedPt refusedPt refused
11750 mg QHS37.1132/73103
11850 mg QHS36142/78101
11950 mg QHS36.8132/71110
12050 mg QHS36.5119/6888
12150 mg QHS36.6106/6499
12250 mg QHS36.9123/84108
12350 mg QHS36.5120/72101
12450 mg QHS36.6157/7879
12550 mg QHS37.9111/67102
12650 mg QHSPt refusedPt refusedPt refused
12750 mg QHS37.1115/80109
12850 mg QHSPt refused118/67106
12950 mg QHSPt refusedPt refusedPt refused
13050 mg QHS36.1130/7195
13150 mg QHS36.7176/73122
13225 mg QAM, 50 mg QHSPt refusedPt refusedPt refused
13325 mg QAM, 50 mg QHS37.2106/63114
13450 mg BID36.7105/65116
13550 mg BID36.6108/66115
13650 mg BID36.9123/88113
13750 mg BID36.7136/81102
13850 mg BID36.8148/7598
13950 mg QAM, 75 mg QHSPt refusedPt refusedPt refused
14050 mg QAM, 75 mg QHS36.9123/88113
14150 mg QAM, 75 mg QHS36.7136/81102
14250 mg QAM, 75 mg QHS36.5115/59103
14350 mg QAM, 75 mg QHSPt refusedPt refusedPt refused
14450 mg QAM, 75 mg QHS36124/84123
14550 mg QAM, 75 mg QHS36.6132/6289

mg: milligrams; mmHg: millimeters of mercury; pt: patient; QHS: at bedtime; QAM: every morning; BID: twice daily.