Mergui Joseph, Jaworowski Sol, Lerner Vladimir
Department of Consultation and Liaison Psychiatry, Sha'arei Zedek Medical Center, Jerusalem, Israel.
Clin Neuropharmacol. 2005 May-Jun;28(3):133-5. doi: 10.1097/01.wnf.0000162172.51547.53.
Depression has been reported as a side effect of a wide variety of drugs in clinical medicine. Neuroleptics may cause depression in persons with or without any past history of psychiatric illness. Clinically, these drug-induced depressions may go unnoticed and thus create therapeutic problems. The authors present a case of quetiapine-associated depression in a patient being treated for schizophrenia. To the best of our knowledge it is the first description of depression associated with quetiapine treatment. This case report suggests that atypical antipsychotics may be a cause of depression. This is noteworthy because these medications have been found in the past to have an antidepressant action. Further data based on controlled studies are needed.
在临床医学中,抑郁症已被报道为多种药物的副作用。抗精神病药物可能会使有或没有精神病史的人患上抑郁症。临床上,这些药物引起的抑郁症可能未被注意到,从而产生治疗问题。作者介绍了一例正在接受精神分裂症治疗的患者出现喹硫平相关性抑郁症的病例。据我们所知,这是与喹硫平治疗相关的抑郁症的首次描述。该病例报告表明非典型抗精神病药物可能是抑郁症的一个病因。这一点值得注意,因为过去发现这些药物具有抗抑郁作用。需要基于对照研究的进一步数据。