Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Psychiatry Investig. 2010 Dec;7(4):302-4. doi: 10.4306/pi.2010.7.4.302. Epub 2010 Nov 11.
Oseltamivir was developed for prophylactic and therapeutic use against influenza, specifically targeting the viral enzyme's highly-conserved active site. In recent years, there have been case reports of neuropsychiatric events during or after oseltamivir treatment, in Japan and other countries. However, a search of the literature revealed no such cases in South Korea. We present the case of a 15-year-old female adolescent diagnosed with depressive episode after taking oseltamivir. Oseltamivir is generally well tolerated. Its most frequent adverse effects include nausea and vomiting, diarrhea, and abdominal pain. In influenza patients taking oseltamivir, neuropsychiatric adverse events include delirium, behavioral disturbance, suicide, delusion, panic attack, convulsion, depressed mood, loss of consciousness, etc. Reportedly, such neuropsychiatric adverse events were more common in children than in adults and generally occurred within 48 hours of administration. Here, we report a retrospective review case of an oseltamivir-related neuropsychiatric event in a female adolescent in South Korea.
奥司他韦是为预防和治疗流感而开发的,专门针对病毒酶的高度保守的活性位点。近年来,在日本和其他国家有奥司他韦治疗期间或治疗后发生神经精神事件的病例报告。然而,文献检索并未在韩国发现此类病例。我们报告了一例 15 岁女性青少年在服用奥司他韦后被诊断为抑郁发作的病例。奥司他韦通常耐受性良好。最常见的不良反应包括恶心、呕吐、腹泻和腹痛。在服用奥司他韦的流感患者中,神经精神不良事件包括谵妄、行为障碍、自杀、妄想、惊恐发作、抽搐、情绪低落、意识丧失等。据报道,此类神经精神不良事件在儿童中比在成人中更为常见,通常在给药后 48 小时内发生。在这里,我们报告了一例韩国女性青少年奥司他韦相关神经精神事件的回顾性病例。