Department of Psychiatry, Western University, Ontario, ON, Canada.
Department of Obstetrics and Gynecology, Mc- Master University, Ontario, ON, Canada.
Curr Drug Saf. 2022;17(3):278-280. doi: 10.2174/1574886316666211013120735.
In this report, we describe a case of domperidone withdrawal in a woman with a history of major depressive disorder and obsessive-compulsive disorder (OCD), who experienced a recurrence of these disorders after stopping domperidone.
The symptoms improved after the restarting of domperidone and disappeared gradually as the drug was tapered and discontinued. Clinicians should consider domperidone withdrawal a differential diagnosis in women with a history of depression or anxiety who present with an acute onset of these symptoms following the abrupt discontinuation of domperidone.
A gradual taper off of the drug may be effective in minimizing withdrawal symptoms and obviate the need for psychotropic drug use.
在本报告中,我们描述了一例多潘立酮停药病例,该患者有重度抑郁障碍和强迫症(OCD)病史,在停用多潘立酮后这些疾病复发。
重新开始使用多潘立酮后,患者的症状改善,随着药物逐渐减量和停用,症状逐渐消失。对于有抑郁或焦虑病史的女性,如果在突然停用多潘立酮后出现这些症状急性发作,临床医生应考虑多潘立酮停药作为鉴别诊断。
逐渐减少药物剂量可能有助于最大限度减少停药症状,避免使用精神药物。