Psychiatria Danubina, Vol. 23. No. 1., 2011.
Conference paper
DULOXETINE-RELATED PANIC ATTACKS
Vladimir Sabljić
; University Psychiatric Clinic Rijeka, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Radmir Rakun
; Psychiatric Hospital Lopača, Rijeka, Croatia, Croatia
Klementina Ružić
; University Psychiatric Clinic Rijeka, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Tanja Grahovac
; University Psychiatric Clinic Rijeka, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Abstract
Side-effects arising on the grounds of antidepressant administration pose as a substantial obstacle hindering successful
depressive disorder treatment. Side-effects, especially those severe or those manifested through dramatic clinical presentations such
as panic attacks, make the treatment far more difficult and shake patients’ trust in both the treatment and the treating physician.
This case report deals with a patient experiencing a moderately severe depressive episode, who responded to duloxetine
treatment administered in the initial dose of 30 mg per day with as many as three panic attacks in two days. Upon duloxetine
withdrawal, these panic attacks ceased as well. The patient continued tianeptine and alprazolam treatment during which no
significant side-effects had been seen, so that she gradually recovered.
Some of the available literature sources have suggested the possibility of duloxetine administration to the end of generalised
anxiety disorder and panic attack treatment. However, they are outnumbered by the contributions reporting about duloxetine-related
anxiety, aggressiveness and panic attacks. In line with the foregoing, further monitoring of each and every duloxetine-administered
patient group needs to be pursued so as to be able to evaluate treatment benefits and weigh them against risks of anxiety or panic
attack onset.
Keywords
duloxetine; side-effect; panic attack; anxiety
Hrčak ID:
76802
URI
Publication date:
31.3.2011.
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