Pratap Alok, Akhtar Sayeed, Sinha Prakriti, Bakhla Ajay Kumar
Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Former Deputy Medical superintendent, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Ind Psychiatry J. 2019 Jul-Dec;28(2):315-317. doi: 10.4103/ipj.ipj_72_15. Epub 2020 Aug 14.
Akathisia, a distressing adverse reaction, is usually underdiagnosed or misdiagnosed in patients, who are treated with selective serotonin reuptake inhibitors (SSRIs). Escitalopram-induced akathisia is rarely reported in the literature. We report a case of severe akathisia leading to a suicide attempt in a 25-year-old male induced by 5 mg of escitalopram, that remitted completely after discontinuation of escitalopram and did not reappear later. Patient and their caretakers should be warned of symptoms of akathisia even when a very low dose of SSRI is prescribed.
静坐不能是一种令人痛苦的不良反应，在接受选择性5-羟色胺再摄取抑制剂（SSRI）治疗的患者中通常未得到充分诊断或被误诊。文献中很少报道艾司西酞普兰诱发的静坐不能。我们报告一例25岁男性因5毫克艾司西酞普兰诱发严重静坐不能并导致自杀未遂的病例，停用艾司西酞普兰后症状完全缓解，且后来未再出现。即使开具的是非常低剂量的SSRI，也应向患者及其护理人员警告静坐不能的症状。
