Department of Psychiatry, Karadeniz Technical University School of Medicine, Trabzon 61080, Turkey.
Department of Psychiatry, Karadeniz Technical University School of Medicine, Trabzon 61080, Turkey.
Gen Hosp Psychiatry. 2015 Jul-Aug;37(4):373.e1-2. doi: 10.1016/j.genhosppsych.2015.04.002. Epub 2015 Apr 8.
Trazodone is a heterocyclic antidepressant that exerts its effect via the inhibition of selective serotonin reuptake and the antagonism of 5-HT2A and 5-HT2C receptors. Antidepressant-induced galactorrhea and increases in prolactin levels have rarely been reported. Trazodone can potentiate the serotonergic activity of citalopram. To our knowledge, no cases of galactorrhea associated with use of trazodone have been reported to date. This report describes a unique case of the development of galactorrhea following the addition of trazodone (100 mg/day, 2 weeks) to the treatment of a patient who was receiving citalopram (40 mg/day, 6 weeks) therapy for a diagnosis of depressive disorder, which improved upon the discontinuation of trazodone.
曲唑酮是一种杂环类抗抑郁药,通过抑制选择性 5-羟色胺再摄取和拮抗 5-HT2A 和 5-HT2C 受体发挥作用。很少有报道称曲唑酮会引起抗抑郁药诱导的溢乳和催乳素水平升高。曲唑酮可以增强西酞普兰的 5-羟色胺能活性。据我们所知,迄今为止,没有报告与曲唑酮使用相关的溢乳病例。本报告描述了一例独特的病例,在接受西酞普兰(40mg/天,6 周)治疗诊断为抑郁症的患者中,加用曲唑酮(100mg/天,2 周)后出现溢乳,停药后改善。