Resolution of Tremor Fluoxetine-induced in an Elderly Patient
Journal Title: International Journal of Medical and Pharmaceutical Case Reports - Year 2015, Vol 3, Issue 1
Abstract
Aim: To report a possible case of tremor fluoxetine-induced treated as Parkinson’s disease in an elderly female patient noncompliant with the pharmacotherapy, with uncontrolled hypertension and using fluoxetine to treat depression. Presentation of Case: Patient complained of sleepiness in the morning, agitation, anxiety, insomnia and mental confusion. Her greatest concern was about bilateral hand tremors which, in her view became, worse after biperiden was prescribed. Therefore, she stopped taking it. The initial medication was: omeprazole, losartan, biperiden, fluoxetine, atenolol + chlorthalidone, acetylsalicylic acid, atorvastatin and diazepam. Pharmacotherapeutic follow up was performed in order to check the necessity, safety and effectiveness of treatment. Discussion: During the analysis of pharmacotherapy, the patient showed uncontrolled blood pressure and had difficulty complying with the treatment. Thus, in view of the complaints expressed by the patient, our first hypothesis was a possible serotonin syndrome related to fluoxetine use. We proposed a change in the fluoxetine regime and discontinuation of biperiden. As tremors persisted, we suggested the replacement of fluoxetine by sertraline, since a possible tremor fluoxetine-induced could explain the complaint. This approach solved the drug-related problem identified. Conclusion: Tremors reported by the patient was identified as an iatrogenic event related to fluoxetine, which was solved by management of serotonin-reuptake inhibitors.
Authors and Affiliations
Patrícia C. Mastroianni, Fernanda M. Oliveira, Fabiana R. Varallo
Keywords
Related Articles
- EP ID EP343834
- DOI 10.9734/IJMPCR/2015/13473
- Views 120
- Downloads 0
Samter’s Triad: Rare or Under-Diagnosed?
Samter’s triad is an acquired inflammatory disorder characterized by asthma, nasal polyps and aspirin sensitivity. Aspirin sensitivity is the hallmark of this condition. It is a form of pseudo-allergy, as IgE does not pl...
Successful Treatment with Dapsone for Refractory Immune Thrombocytopenia
In adult with immune thrombocytopenia (ITP), it has been known that steroids have been used as a first-line therapy. The therapy induced remission in more than 60% of patients. Here, we evaluated the results of dapsone f...
Presence of Endocarditis on the Patch in the Left Ventricular Outflow Tract Successful Treated with Daptomycin
We present a rare case of endocartitis on the patch in the left ventricular outflow, in a 42 year-old man patient that had undergone surgical correction of tetralogy of Fallot and definitive closure with Dacron patch of...
Visceral Artery Aneurysms: A Complex and Unresolved Issue
Aims: The lack of prospective studies on abdominal non-aortic true or false aneurysms results in insufficient data to predict their natural history and propose a treatment of choice. The experience provided by case repor...
Hereditary Juvenile Haemochromatosis and Idiopathic Dilated Cardiomyopathy
Hereditary hemochromatosis (HH), a common autosomal recessive disease, is characterized by excessive iron overload/toxicity in multiple organs (joints, liver, heart, pancreas, pituitary, adrenals and skin). Symptoms and...