A Case of Acute Psychosis after Sibutramine Ingestion.
- Author:
Hyung Min KIM
1
;
Seon Hee WOO
;
Se Min CHOI
;
Byung Hak SO
Author Information
1. Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sohak@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Sibutramine;
Psychosis
- MeSH:
Adult;
Benzodiazepines;
Capsules;
Cyclobutanes;
Dihydroergotamine;
Eating;
Electrocardiography;
Female;
Follow-Up Studies;
Hallucinations;
Hospitalization;
Humans;
Hypertension;
Nausea;
Psychotic Disorders;
Risperidone;
Tachycardia;
Thorax
- From:Journal of The Korean Society of Clinical Toxicology
2009;7(2):176-179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 38-year-old woman was admitted to our hospital due to agitation, nausea, chest discomfort, tachycardia and hypertension 6h after ingesting approximately 60 capsules of sibutramine. The woman developed the clinical features of acute psychosis, including auditory hallucination, agitation and paranoid ideation, on day 2. No relevant changes were detected on the laboratory examinations or on the electrocardiogram throughout the period of hospitalization. She was treated with risperidone and benzodiazepine. The symptoms subsequently resolved completely with cessation of the provoking agent. The patient was discharged on day 7 and the follow-up revealed no sequelae for 5 months.