Emerging Mania Following Escitalopram Withdrawal in a Patient with Unipolar Depression Managed with its Reintroduction

作者：De Berardis Domenico^*; Serroni Nicola; Marini Stefano; Fornaro Michele; Valchera Alessandro; Martinotti Giovanni; Di Giannantonio Massimo; Kahn David A

来源：Journal of Psychiatric Practice, 2014, 20(3): 228-231.

DOI：10.1097/01.pra.0000450323.37038.a9

• escitalopram
• selective serotonin reuptake inhibitors (SSRIs)
• rebound
• mania
• switch
• major depressive disorder

Discontinuation or withdrawal symptoms have been documented for all major classes of antidepressants, especially the selective serotonin reuptake inhibitors (SSRIs). It has been reported that an antidepressant withdrawal syndrome may induce manic states in patients treated for major depression, even in the absence of a history of bipolar disorder. We report the case of a young woman with unipolar depression who developed a manic state after abrupt discontinuation of low-dose escitalopram. This manic state remitted when escitalopram was reintroduced within a week after the interruption of treatment.

• 出版日期2014-5