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利培酮 - 氟伏沙明联合使用导致的正常催乳素血症性男性乳房发育和溢乳

Euprolactinemic gynecomastia and galactorrhea with risperidone-fluvoxamine combination.

作者信息

Pratheesh P J, Praharaj Samir Kumar, Srivastava Ashish

机构信息

Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India.

出版信息

Psychopharmacol Bull. 2011;44(1):70-3.

Abstract

Risperidone is associated with hyperprolactinemia and its consequent symptoms such as gynecomastia, galactorrhea and sexual dysfunction in adults, and less so in adolescents. Rarely, serotonin reuptake inhibitors are also associated with such adverse effects. We report a case of gynecomastia and galactorrhea in an adolescent male while on a combination of risperidone and fluvoxamine, although the serum prolactin was within normal range.

摘要

利培酮与高催乳素血症及其相关症状有关,如成年男性的乳腺增生、溢乳和性功能障碍,在青少年中则较少见。很少有情况是,血清素再摄取抑制剂也会出现此类不良反应。我们报告了一例青少年男性在服用利培酮和氟伏沙明联合用药期间出现乳腺增生和溢乳的病例,尽管其血清催乳素水平在正常范围内。

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本文引用的文献

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A case of galactorrhea associated with excitalopram.与艾司西酞普兰相关的溢乳病例。
Psychiatry Investig. 2009 Sep;6(3):230-2. doi: 10.4306/pi.2009.6.3.230. Epub 2009 Jul 15.
4
Risperidone-induced symptomatic hyperprolactinaemia in adolescents.利培酮诱发青少年出现症状性高催乳素血症。
J Clin Psychopharmacol. 2006 Apr;26(2):167-71. doi: 10.1097/01.jcp.0000203194.58087.9a.
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Effect of fluvoxamine on plasma risperidone concentrations in patients with schizophrenia.
Pharmacol Res. 2005 Dec;52(6):497-501. doi: 10.1016/j.phrs.2005.09.005. Epub 2005 Oct 11.
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Prolactin levels and adverse events in patients treated with risperidone.
J Clin Psychopharmacol. 1999 Feb;19(1):57-61. doi: 10.1097/00004714-199902000-00011.

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