Distressing Visual Hallucinations after Treatment with Trazodone
Autor: | Gustavo Miguel Cabral M. F. Santos, Ana Maria Moreira |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Anamnesis
medicine.medical_specialty Side effect Medication history business.industry lcsh:RC435-571 Primary Insomnia Mirtazapine Trazodone Case Report Emergency department 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine lcsh:Psychiatry medicine Antidepressant Psychiatry business 030217 neurology & neurosurgery medicine.drug |
Zdroj: | Case Reports in Psychiatry, Vol 2017 (2017) Case Reports in Psychiatry |
ISSN: | 2090-6838 |
Popis: | Trazodone, a second-generation atypical antidepressant, is increasingly being used off-label, in the treatment of insomnia. Although generally well tolerated, trazodone treatment can be associated with some complications. We describe a case of a 60-year-old man who received trazodone for primary insomnia. He returned, to the emergency department, two days later with distressing visual hallucinations, which prompted inpatient treatment. Trazodone was discontinued, leading to a complete resolution of his visual hallucinations, and he was treated with mirtazapine for 6 months. There has been no relapse in a follow-up period of two years. Patients presenting with visual hallucinations without significant psychiatry history can be a challenging situation. We highlight the importance of careful anamnesis with an accurate medication history. Given the widespread use of trazodone, clinicians should be aware of this possible side effect. |
Databáze: | OpenAIRE |
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