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It can occur anytime during use of antipsychotic agent, i.e., during the initial course of treatment, during the long-term use of antipsychotics or after the change in the dose of the antipsychotic medication.[] Priapism is usually attributed to the alpha-adrenergic blocking properties of the psychotropic, with agents having higher potential, associated with higher risk of developing priapism.[] It is reported both in men and women (in the form of clitoral priapism).[] Clitoral priapism has been reported with the use of trazadone, nefazodone, citalopram, bupropion and olanzapine

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this is most common when infants display no defining features of MCADD or receive normal newborn screening results prior to the onset of illness