Delirium following abrupt discontinuation of fluoxetine

被引:21
作者
Blum, Diana [1 ]
Maldonado, Jose [2 ]
Meyer, Everett [3 ]
Lansberg, Maarten [1 ]
机构
[1] Stanford Univ, Dept Neurol, Stanford, CA 94305 USA
[2] Stanford Univ, Dept Psychiat, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Stanford, CA 94305 USA
关键词
serotonin reuptake inhibitor; fluoxetine; discontinuation syndrome; psychiatric symptoms; multiple sclerosis; delirium; withdrawal symptoms;
D O I
10.1016/j.clineuro.2007.08.016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sudden discontinuation of serotonin reuptake inhibitors (SRI) can lead to a number of psychological (e.g., nervousness, anxiety, crying spells, psychomotor agitation, irritability, depersonalization, decreased mood, memory disturbances, confusion, decreased concentration, and/or slowed thinking) and somatic (e.g., nausea, dizziness, headache) symptoms. Recent studies have shown that withdrawal symptoms are common with paroxetine, venlafaxine and fluvoxamine, but relatively rare and mild with fluoxetine cessation, likely as a result of its longer half-life. We report an unusual case of a patient who developed delirium after abrupt discontinuation of fluoxetine. (c) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:69 / 70
页数:2
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