Psychiatr. praxi. 2022;23(1):e3-e7 [Urol. praxi. 2021;22(4):192-194]

Urinary retention as a rare complication of psychotropic drug use

doc. MUDr. Dana Končelíková, Ph.D., PharmDr. Gabriela Vaculová
Klinika psychiatrie, Fakultní nemocnice Olomouc a LF UP Olomouc
Oddělení klinické farmacie, Fakultní nemocnice Olomouc

Urinary retention can develop as a result of a number of somatic as well as mental disorders. Identifying the cause is crucial in the proper treatment of patients. This review article aims to present the basic groups of psychotropic drugs, their indications and the possible connection with the development of urinary retention. Substances from the group of antipsychotics and antidepressants, substances affecting the anticholinergic and serotonergic systems, are considered to be risky. In principle, however, psychotropic drugs can be described as safe in terms of the risk of developing urinary retention. Caution should be exercised especially in at-risk groups and in drug combinations.

Keywords: urinary retention, anticholinergic, serotonergic, antipsychotics, antidepressants, anxiolytics.

Published: April 8, 2022  Show citation

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Končelíková D, Vaculová G. Urinary retention as a rare complication of psychotropic drug use. Psychiatr. praxi. 2022;23(1):e3-7.
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References

  1. Kamaradova D, Latalova K, Prasko J, et al. Connection between self-stigma, adherence to treatment, and discontinuation of medication. Patient preference and adherence 2016; 10: 1289. Go to original source... Go to PubMed...
  2. Crawford GB, Agar MM, Quinn SJ, et al. Pharmacovigilance in hospice/palliative care: net effect of haloperidol for delirium. Journal of palliative medicine. 2013; 16(11): 1335-1341. Go to original source... Go to PubMed...
  3. Sahoo S. Aripiprazole in a patient susceptible to urinary side effects of antipsychotics. The Israel journal of psychiatry and related sciences 2007; 44(1): 74.
  4. Benazzi F. Urinary retention with sertraline, haloperidol, and clonazepam combination. Can J Psychiatry 1998; 43: 1051-1052.
  5. Ulmar G, Schunck H, Kober C. Urinary retention in the course of neuroleptic therapy with haloperidol. Pharmacopsychiatry 1998; 21(04): 208-209. Go to original source... Go to PubMed...
  6. Hwang YJ, Dixon SN, Reiss JP, et al. Atypical antipsychotic drugs and the risk for acute kidney injury and other adverse outcomes in older adults: a population-based cohort study. Annals of internal medicine 2014; 161(4): 242-248. Go to original source... Go to PubMed...
  7. Lin YT. Urinary retention as a rare adverse effect of clozapine: a case report. In International Journal of Neuropsychofarmacology 2016; 19: 196-197.
  8. Cohen R, Wilkins KM, Ostroff R, et al. Olanzapine and acute urinary retention in two geriatric patients. The American journal of geriatric pharmacotherapy 2007; 5(3): 241-246. Go to original source... Go to PubMed...
  9. Sokolski KN, Brown BJ, Melden M. Urinary retention following repeated high-dose quetiapine. Annals of Pharmacotherapy 2004; 38(5): 899-900. Go to original source... Go to PubMed...
  10. Chung AK, Chua SE. Acute urinary retention associated with selective serotonin reuptake inhibitors and ziprasidone. Illin Psychopharmacol 2007; 27(5): 517-519. Go to original source... Go to PubMed...
  11. Kopeček M. Preskripce psychofarmak a jejich ceny v ČR v letech 2003, 2005 a 2008. Čes a slov psychiatr 2010; 106(2): 119-120.
  12. Degner D, Grohmann R, Kropp S, et al. Severe adverse drug reactions of antidepressants: results of the German multicenter drug surveillance program AMSP. Pharmacopsychiatry 2004; 37(S1): 39-45. Go to original source... Go to PubMed...
  13. Biederman J, Herzog DB, Rivinus TM, et al. Amitriptyline in the treatment of anorexia nervosa: a double-blind, placebo-controlled study. Journal of clinical psychopharmacology 1985; 5(1): 10-16. Go to original source... Go to PubMed...
  14. Güloğlu C, Orak M, Üstündağ M, et al. Analysis of amitriptyline overdose in emergency medicine. Emergency Medicine Journal 2011; 28(4): 296-299.
  15. Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. American family physician 2008; 77(5). 643-650.
  16. Claghorn JL, Earl CQ, Walczak DD, et al. Fluvoxamine maleate in the treatment of depression: a single-center, double-blind, placebo-controlled comparison with imipramine in outpatients. Journal of clinical psychopharmacology 1996; 16(2): 113-120. Go to original source... Go to PubMed...
  17. Yoshimura N, Chancellor MB. Neurophysiology of lower urinary tract function and dysfunction. Reviews in urology 2003; 5: 3.
  18. Degner D, Grohmann R, Kropp S, et al. Severe adverse drug reactions of antidepressants: Results of the German multicenter drug surveillance program AMPS. Pharmacopsychiatry 2004; 37: 39-45. Go to original source... Go to PubMed...
  19. Movig KLL, Leufkens HGM, Belitser SV, et al. Selective serotonin reuptake inhibitor-induced urinary incontinence. Pharmacoepidemiology and drug safety 2002; 11(4): 271-279. Go to original source... Go to PubMed...
  20. Cannon TW, Chancellor MB. Pharmacotherapy for stress urinary incontinence. Rev Urol. 2003; 5: 135-141. Go to PubMed...
  21. Viktrup L, Pangallo BA, Detke MJ, et al. Urinary side effects of duloxetine in the treatment of depression and stress urinary incontinence. Prim Care Companion J Clin Psychiatry 2004; 6: 65-73. Go to original source... Go to PubMed...
  22. Çaksen H, Odabaş D. Urinary retention due to clonazepam in a child with dyskinetic cerebral palsy. Journal of Emergency Medicine 2004; 26(2): 244. Go to original source... Go to PubMed...
  23. Steiner I, Birmanns B. Carbamazepine-induced urinary retention in long-standing diabetes mellitus. Neurology 1993; 43(9): 1855-1855. Go to original source... Go to PubMed...
  24. Filling-Katz MR, Merrick HF, Fink JK, et al. Carbamazepine in Fabry's disease: Effective analgesia with dose-dependent exacerbation of autonomic dysfunction. Neurology 1989; 39(4): 598-598. Go to original source... Go to PubMed...
  25. Hmouda H, Salem CB, Grira M, et al. Carbamazepine-induced urinary retention. British journal of clinical pharmacology 2007; 64(6): 833. Go to original source...
  26. Burger DH, Kappetein AP, Boutkan H, et al.. Prevention of urinary retention after general surgery: a controlled trial of carbachol/diazepam versus alfusozine. Journal of the American College of Surgeons 1997; 185(3): 234-236. Go to original source... Go to PubMed...




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