Paroxetine toxicity in a newborn after in utero exposure - Clinical symptoms correlate with serum levels

被引:19
作者
Knoppert, DC
Nimkar, R
Principi, T
Yuen, D
机构
[1] St Josephs Hosp, Dept Pharm, London, ON N6 A4V2, Canada
[2] Univ Western Ontario, Dept Paediat, London, ON N6A 3K7, Canada
关键词
paroxetine; SSRI; newborn; in utero exposure;
D O I
10.1097/01.ftd.0000187971.95000.25
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
There are several case reports and case series that have examined the acute effects of selective scrotonin reuptake inhibitors (SSRIs) on the newborn. There is considerable controversy whether the reported symptoms represent withdrawal from the SSRI or toxicity caused by the SSRI. A case of an infant who was exposed to paroxetine during pregnancy is presented. This case supports the notion of serotonin toxicity and is believed to be the first report that substantiates clinical symptoms with serum levels of the offending SSRI.
引用
收藏
页码:5 / 7
页数:3
相关论文
共 13 条
[1]   Neonatal outcome after exposure to selective serotonin reuptake inhibitors late in pregnancy [J].
Cissoko, H ;
Swortfiguer, D ;
Giraudeau, B ;
Jonville-Béra, AP ;
Autret-Leca, E .
ARCHIVES DE PEDIATRIE, 2005, 12 (07) :1081-1084
[2]   Paroxetine withdrawal syndrome in a neonate [J].
Dahl, ML ;
Olhager, E ;
Ahlner, J .
BRITISH JOURNAL OF PSYCHIATRY, 1997, 171 :391-392
[3]   The serotonin syndrome scale: first results on validity [J].
Hegerl, U ;
Bottlender, R ;
Gallinat, J ;
Kuss, HJ ;
Ackenheil, M ;
Moller, HJ .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 1998, 248 (02) :96-103
[4]   SUSPECTED CONGENITAL SERTRALINE DEPENDENCE [J].
KENT, LSW ;
LAIDLAW, DD .
BRITISH JOURNAL OF PSYCHIATRY, 1995, 167 :412-413
[5]   Is maternal use of selective serotonin reuptake inhibitors in the third trimester of pregnancy harmful to neonates? [J].
Koren, G ;
Matsui, D ;
Einarson, A ;
Knoppert, D ;
Steiner, M .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2005, 172 (11) :1457-1459
[6]   Severe adverse effects in a newborn with two defective CYP2D6 alleles after exposure to paroxetine during late pregnancy [J].
Laine, K ;
Kytölä, J ;
Bertilsson, L .
THERAPEUTIC DRUG MONITORING, 2004, 26 (06) :685-687
[7]   Effects of exposure to selective serotonin reuptake inhibitors during pregnancy on serotonergic symptoms in newborns and cord blood monoamine and prolactin concentrations [J].
Laine, K ;
Heikkinen, T ;
Ekblad, U ;
Kero, P .
ARCHIVES OF GENERAL PSYCHIATRY, 2003, 60 (07) :720-726
[8]   Potential fluoxetine chloride (Prozac) toxicity in a newborn [J].
Mhanna, MJ ;
Bennet, JB ;
Izatt, SD .
PEDIATRICS, 1997, 100 (01) :158-159
[9]   Neonatal withdrawal syndrome after in utero exposure to selective serotonin reuptake inhibitors [J].
Nordeng, H ;
Lindemann, R ;
Perminov, KV ;
Reikvam, Å .
ACTA PAEDIATRICA, 2001, 90 (03) :288-291
[10]  
Ruchkin V, 2005, LANCET, V365, P451