W. Koren et al., RHABDOMYOLYSIS ASSOCIATED WITH CLOZAPINE TREATMENT IN A PATIENT WITH DECREASED CALCIUM-DEPENDENT POTASSIUM PERMEABILITY OF CELL-MEMBRANES, Clinical neuropharmacology, 21(4), 1998, pp. 262-264
A 21-year-old patient developed rhabdomyolysis during his nineteenth w
eek of treatment with clozapine for drug-resistant schizophrenia. No r
isk factors for rhabdomyolysis were found, but the calcium-dependent p
otassium efflux, normally responsible for membrane hyperpolarization a
nd muscle refractoriness, was severely decreased in the patient's red
blood cells. Clozapine is speculated to cause rhabdomyolysis in patien
ts with defective calcium-activated K+ channels.