Effects of Paliperidone on Serum D-dimer Levels: Clinical and Experimental Findings.

Background: Dysregulation of coagulation function associated with antipsychotic treatment remains poorly understood. This study investigates the potential impact of paliperidone on serum D-dimer levels during the early stages of treatment. Methods: Nine patients diagnosed with first-episode schizoph...

Descripción completa

Detalles Bibliográficos
Publicado en:Actas Espanolas de Psiquiatria Vol. 53; no. 5; pp. 959 - 967
Autores principales: Mou, Tingting, Lai, Jianbo, Kong, Lingzhuo
Formato: Artículo
Publicado: Maria Lopez-Ibor 2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=190365496&site=ehost-live
header:
  @attributes:
    shortDbName: lth
    uiTerm: 190365496
    longDbName: MedicLatina
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        11399287
        IVZ
      jtl: Actas Espanolas de Psiquiatria
      issn: 11399287
      maglogo: N
    pubinfo:
      dt: 2025
      vid: 53
      iid: 5
      pid: 80014
      pub: Maria Lopez-Ibor
    artinfo:
      ui:
        190365496
        10.62641/aep.v53i5.1958
      ppf: 959
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
            size: 1.6MB
      tig:
        atl: Effects of Paliperidone on Serum D-dimer Levels: Clinical and Experimental Findings.
      aug:
        au:
          Mou, Tingting
          Lai, Jianbo
          Kong, Lingzhuo
        affil:
          Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, 310003 Hangzhou, Zhejiang, China.
          Zhejiang Key Laboratory of Precision Psychiatry, 310003 Hangzhou, Zhejiang, China.
          Brain Research Institute of Zhejiang University, 310012 Hangzhou, Zhejiang, China.
          Zhejiang Engineering Center for Mathematical Mental Health, 310003 Hangzhou, Zhejiang, China.
          MOE Frontier Science Center for Brain Science and Brain-machine Integration, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China.
      su:
        Blood coagulation
        Antipsychotic agents
        Schizophrenia
        Treatment effectiveness
        Blood coagulation factors
        Medical research
        Animal experimentation
      sug:
        subj:
          Blood coagulation
          Antipsychotic agents
          Schizophrenia
          Treatment effectiveness
          Blood coagulation factors
          Medical research
          Animal experimentation
      keyword:
        blood coagulation
        paliperidone
        schizophrenia
      ab: Background: Dysregulation of coagulation function associated with antipsychotic treatment remains poorly understood. This study investigates the potential impact of paliperidone on serum D-dimer levels during the early stages of treatment. Methods: Nine patients diagnosed with first-episode schizophrenic spectrum disorder were assessed for serum D-dimer levels before and after a 2-week paliperidone regimen. Additionally, eight adult C57 mice in the experimental group (EG) received 3 mg/kg of paliperidone daily for 10 consecutive days, while eight mice in the control group (CG) were untreated. Venous blood was collected and analyzed for D-dimer at baseline, and on the 5th and 10th days in the EG, as well as on the 10th day for the CG. Results: No significant differences were observed in serum D-dimer levels before and after paliperidone treatment in the patient cohort. In animal experiments, compared to the CG on the 10th day, serum D-dimer levels in the EG on the 10th day showed no significant difference (p > 0.05), while the level in the EG on the 5th day was significantly lower (p < 0.05). Compared to its baseline, serum D-dimer levels within the EG on the 5th day was significantly decreased (p < 0.05). Conclusion: Short-term paliperidone treatment had minimal effects on serum D-dimer levels in both human participants and mice, though transient changes were noted early in treatment. Nonetheless, the potential for druginduced coagulation disruption should be considered in clinical practice.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: Y
      custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
      item: Actas Espanolas de Psiquiatria
      holder: Maria Lopez-Ibor
      dt:
        @attributes:
          year: 2025
    holdings:
      @attributes:
        islocal: N