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普瑞巴林依赖:印度北部克什米尔地区联络精神科的经验:病例系列

Pregabalin dependence: Experiences from liaison psychiatric settings in Kashmir, North India: A case series.

作者信息

Khanam Aaliya, Raj Rajnish, Wani Zaid A, Rather Yasir H, Arshad Iqra

机构信息

Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Government Medical College, Srinagar, Jammu and Kashmir, India.

出版信息

Ind Psychiatry J. 2025 Jan-Apr;34(1):114-116. doi: 10.4103/ipj.ipj_474_24. Epub 2025 Apr 18.

Abstract

Pregabalin, a gamma-aminobutyric acid (GABA) analog, is a new-generation antiepileptic that is approved for the treatment of neuropathic pain, fibromyalgia, partial seizures, and generalized anxiety disorder. There is a rising concern regarding its abuse potential, and a handful of case reports have highlighted the same. We present a case series on pregabalin dependence. In contrast to previous case reports, which focused on patients with a history of illicit drug abuse, we present cases of drug-naïve individuals for whom pregabalin was the first substance of abuse. The highlight of the study is that we describe cases of pregabalin intoxication and a rare case of pregabalin withdrawal, which presented as a lethal suicidal attempt to liaison psychiatric settings.

摘要

普瑞巴林是一种γ-氨基丁酸(GABA)类似物,是新一代抗癫痫药物,已被批准用于治疗神经性疼痛、纤维肌痛、部分性癫痫发作和广泛性焦虑症。人们对其滥用潜力的担忧日益增加,一些病例报告也凸显了这一点。我们呈现了一组关于普瑞巴林依赖的病例系列。与之前专注于有非法药物滥用史患者的病例报告不同,我们呈现的是初次使用药物个体的病例,对他们来说普瑞巴林是第一种滥用物质。该研究的亮点在于我们描述了普瑞巴林中毒的病例以及一例罕见的普瑞巴林戒断病例,后者表现为在联络精神科时出现致命的自杀企图。

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本文引用的文献

1
Very high dose of pregabalin abuse: A case report.超高剂量普瑞巴林滥用:一例报告
Indian J Psychiatry. 2023 Sep;65(9):979-980. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_283_23. Epub 2023 Sep 5.
2
A case of pregabalin addiction.一例普瑞巴林成瘾病例。
Ind Psychiatry J. 2021 Oct;30(Suppl 1):S352-S353. doi: 10.4103/0972-6748.328855. Epub 2021 Oct 22.
6
Depression and attempted suicide under pregabalin therapy.普瑞巴林治疗下的抑郁和自杀未遂
Ann Gen Psychiatry. 2014 Dec 4;13(1):37. doi: 10.1186/s12991-014-0037-8. eCollection 2014.

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