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TABLE 10.

9
Medication/Drug Antipsychotics Anticholinergics

Medications/Drugs and Heat-related Illnesses


Increased Risk Through Altered sweat production, impaired temperature regulation, impaired thirst recognition, weight gain Altered sweat production, weight gain Altered sweat production, weight gain Increased heat production, inhibited heat loss Weight gain Increased heat production, inhibited heat loss, fluid loss through increased urination Dehydration through increased sweating Respiratory conditions such as asthma or emphysema impair oxygen exchange, which inhibits heat loss Excess fluid loss through increased urination Increased metabolic requirements

Altered sweat production SSRIs MAOIs Lithium Beta blockers Smoking Alcohol Stimulants

SOURCES: Batscha, C. L. (1997). Heat stroke: Keeping your clients cool in the summer. Journal of Psychosocial Nursing, 35(7), 1217; and Hermesh, H., et al. (2000). Heat intolerance in patients with chronic schizophrenia maintained with antipsychotic drugs. American Journal of Psychiatry, 157(8), 13271329.