Rhabdomyolysis secondary to zolpidem-induced seizures

Authors

  • Maxwell Silva Carvalho Programa de Formação em Psiquiatria, Centro de Estudos José de Barros Falcão, Porto Alegre, RS, Brasil https://orcid.org/0009-0003-4626-1097
  • César Augusto Trinta Weber Professor, Centro de Estudos José de Barros Falcão, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-3499-3632

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.764

Keywords:

seizures, drug misuse, rhabdomyolysis, substance-related disorders, zolpidem

Abstract

Introduction: Rhabdomyolysis is a condition in which muscle destruction and necrosis occurs. Of varied etiology, it may be associated with convulsive crises. Zolpidem is a non-benzodiazepine sedative and hypnotic agent that under conditions of abuse and frequency can cause seizures. Case Report: Male, 26-year-old man was taken to the emergency room at a general hospital due to anxiety, where he had episodes of seizures. The condition progresses to rhabdomyolysis. History of zolpidem abuse. Discussion: High doses of zolpidem alter the selective agonism in the benzodiazepine-1 receptor and the abrupt withdrawal of the medication can lead to seizures with evolution, in severe cases, to rhabdomyolysis. Conclusions: Self-medication and abusive use of substances such as zolpidem have the potential to cause tolerance and dependence and may lead to life-threatening clinical conditions.

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Author Biographies

Maxwell Silva Carvalho, Programa de Formação em Psiquiatria, Centro de Estudos José de Barros Falcão, Porto Alegre, RS, Brasil

César Augusto Trinta Weber, Professor, Centro de Estudos José de Barros Falcão, Porto Alegre, RS, Brasil

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Published

2023-05-31

How to Cite

1.
Carvalho MS, Weber CAT. Rhabdomyolysis secondary to zolpidem-induced seizures. Debates em Psiquiatria [Internet]. 2023 May 31 [cited 2024 Oct. 23];13:1-12. Available from: https://revistardp.org.br/revista/article/view/764

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Section

Case Report

Plaudit

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