Consultant Psychiatrist, Kirpekar Hospital, Nagpur.
Indian J Psychiatry. 2005 Apr;47(2):119-20. doi: 10.4103/0019-5545.55960.
Selective serotonin reuptake inhibitors (SSRIs) can cause the syndrome of inappropriate antidiuretic hormone secretion (SIADH). SIADH is associated with hyponatraemia without oedema. We report the case of a patient who developed acute-onset hyponatraemia that progressed rapidly to serious neurological dysfunction shortly after the introduction of citalopram. All SSRIs including citalopram should be used with care in the elderly. The water and electrolyte balance should be monitored carefully during SSRI therapy.
选择性 5-羟色胺再摄取抑制剂(SSRIs)可引起抗利尿激素分泌不当综合征(SIADH)。SIADH 与无水肿的低钠血症有关。我们报告了一例患者的病例,在引入西酞普兰后不久,该患者迅速发生急性低钠血症,并迅速发展为严重的神经功能障碍。所有包括西酞普兰在内的 SSRIs 在老年人中都应谨慎使用。在 SSRI 治疗期间应密切监测水和电解质平衡。