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Severe excessive daytime sleepiness induced by hydroxyurea
Authors:Bruno Revol  Marie Joyeux‐Faure  Marie‐Victoire Albahary  Remy Gressin  Michel Mallaret  Jean‐Louis Pepin  Sandrine H. Launois
Affiliation:1. HP2, INSERM U1042, Grenoble Alps University, Grenoble Cedex 9, France;2. Pharmacovigilance, Grenoble Alps University Hospital, Grenoble Cedex 9, France;3. Thorax and Vessels, EFCR, Grenoble Alps University Hospital, Grenoble Cedex 9, France;4. IAB, INSERM U1209, CNRS UMR 5309, Grenoble Alps University, Grenoble Cedex 9, France;5. Hematology, Grenoble Alps University Hospital, Grenoble Cedex 9, France;6. UPMC Paris 6, INSERM UMRS 1158, Sorbonne University, Paris, France;7. St Antoine Hospital, GHUEP, Paris, France
Abstract:Excessive daytime sleepiness (EDS) has been reported with many drugs, either as an extension of a hypnotic effect (e.g. central nervous system depressants) or as an idiosyncratic response of the patient. Here, we report unexpected and severe subjective and objective EDS induced by hydroxyurea therapy, with a favorable outcome after withdrawal. Clinical history, sleep log, polysomnography, and multiple sleep latency tests confirming the absence of other EDS causes are presented.
Keywords:excessive daytime sleepiness  hydroxyurea  unexpected adverse drug reaction
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