Options in managing alternatives to hyoscine in clozapine-induced hypersalivation: a survey of secure services consultants Clozapine-induced hypersalivation is socially embarrassing and potentially life threatening. It can lead to poor medication adherence, which is of concern for patients in secure settings.Hyoscine hydrobromide is widely used as a first-line treatment, despite little available evidence.
The psychiatric and metabolic symptoms associated with hyperparathyroidism are complex and the correlation between symptom severity and degree of hypercalcaemia is poor. Here, the authors explore such a case of hypercalcaemia and primary hyperparathyroidism which required psychotropic medication and a plan for surgical treatment in the longer term.
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