A hypothermia case with early onset schizophrenia treated with clozapine

Ozyurt G., Inal Emiroglu N., BAYKARA H. B.

ANADOLU PSIKIYATRI DERGISI-ANATOLIAN JOURNAL OF PSYCHIATRY, vol.16, no.5, pp.375-377, 2015 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 5
  • Publication Date: 2015
  • Doi Number: 10.5455/apd.1412834493
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.375-377
  • Keywords: Early onset schizophrenia, hypothermia, clozapine, ANTIPSYCHOTICS
  • Dokuz Eylül University Affiliated: Yes


The usage of antipsychotics in children and adolescents increase in the general of the world and it was reported that 90% of these antipsychotics were atypical antipsychotic by researchers. Clozapine is considered to be the prototype of the atypical antipsychotics, as it was the first to be recognized as having less extrapyramidal side effects, not causing tardive dyskinesia, and not elevating prolactin. Clozapine is not a first choice antipsychotic but it can be used when other antipsychotics cannot be effective. Atypical antipsychotics, also clozapine, alter ability of body to regulate response to changes in temperature and humidity, patients may become hypothermic or hyperthermic; more likely in temperature changes due to inhibition of the hypothalamic control area. Transient temperature alteration can occur with clozapine in up to 50% of patients, usually within the first three weeks of treatment. In this article we present a 17 years old male adolescent with early onset schizophrenia. Although three different atypical antipsychotics were used and there was no treatment response in that case. After clozapine was administered, transient thermoregulation alteration was seen at the beginning of the treatment.