Suicide Attempt in a Patient with Sibutramine Associated Psychosis

Authors

  • Pedro Câmara Pestana * Co-first authors Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa. https://orcid.org/0000-0003-3166-6481
  • Carla Ferreira * Co-first authors Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.
  • Ana Luísa Santos Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.
  • Joana Jerónimo Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.
  • Licínia Ganança Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.

DOI:

https://doi.org/10.20344/amp.14304

Keywords:

Liaison Psychiatry, Psychotic Disorders, Sibutramine, Suicide

Abstract

Sibutramine is a serotonin-norepinephrine-dopamine reuptake inhibitor, initially developed as a potential antidepressant and later approved for the management of obesity. Sibutramine use is also associated with psychiatric symptoms, namely mania, panic attacks, and, less frequently, psychosis. We report the case of a 32-year-old man, admitted to our hospital due to a suicide attempt in the context of sibutramine-associated psychosis. The symptoms remitted completely after discontinuation of sibutramine and a brief period of antipsychotic medication. The aim of this manuscript is to highlight the importance of the recognition of sibutramine-associated psychosis, to discuss the possible pathophysiology and the proper clinical and therapeutic management.

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Author Biographies

Pedro Câmara Pestana, * Co-first authors Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.

MD

Carla Ferreira, * Co-first authors Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.

MD

Ana Luísa Santos, Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.

PSYD

Joana Jerónimo, Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.

MD

Licínia Ganança, Department of Psychiatry and Mental Health. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Department of Psychiatry. Faculty of Medicine. University of Lisbon. Lisboa.

MD

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Published

2022-03-02

How to Cite

1.
Câmara Pestana P, Ferreira C, Santos AL, Jerónimo J, Ganança L. Suicide Attempt in a Patient with Sibutramine Associated Psychosis. Acta Med Port [Internet]. 2022 Mar. 2 [cited 2024 Jun. 24];35(3):216-8. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14304

Issue

Section

Case Report