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西酞普兰致青年患者幻觉和妄想

Citalopram-induced hallucinations and delusions in a young adult.

机构信息

Department of Psychiatry, National Naval Medical Center, Bethesda, MD 20814, USA.

出版信息

Gen Hosp Psychiatry. 2010 Nov-Dec;32(6):648.e1-3. doi: 10.1016/j.genhosppsych.2010.07.008. Epub 2010 Sep 15.

Abstract

OBJECTIVE

To report on a case of citalopram-induced hallucinations and delusions.

METHOD

The authors present the case of a patient who developed psychotic symptoms including hallucinations and delusions shortly after starting the SSRI citalopram for posttraumatic stress disorder and associated depression.

RESULTS

Citalopram was discontinued and his symptoms quickly resolved.

CONCLUSION

Providers should use caution and advise patients of rare but serious side effects even when prescribing generally safe medications such as selective serotonin reuptake inhibitors.

摘要

目的

报告一例西酞普兰引起的幻觉和妄想病例。

方法

作者介绍了一例患者的病例,该患者在因创伤后应激障碍和相关抑郁而开始使用 SSRI 西酞普兰后不久出现了包括幻觉和妄想在内的精神病症状。

结果

停用西酞普兰后,他的症状迅速缓解。

结论

即使在开具一般安全药物(如选择性 5-羟色胺再摄取抑制剂)时,医生也应谨慎并告知患者罕见但严重的副作用。

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