Resolution of tremor fluoxetine-induced in an elderly patient

dc.contributorUniversidade Estadual Paulista (Unesp)
dc.creatorMastroianni, Patricia de Carvalho [UNESP]
dc.creatorOliveira, Fernanda Marina de [UNESP]
dc.creatorVarallo, Fabiana Rossi [UNESP]
dc.date2016-01-28T16:56:33Z
dc.date2016-01-28T16:56:33Z
dc.date2015
dc.date.accessioned2023-09-12T08:16:18Z
dc.date.available2023-09-12T08:16:18Z
dc.identifierhttp://dx.doi.org/10.9734/ijmpcr/2015/13473
dc.identifierInternational Journal of Medical and Pharmaceutical Case Reports, v. 3, n. 1, p. 1-5, 2015.
dc.identifier2394-109X
dc.identifierhttp://hdl.handle.net/11449/133770
dc.identifier10.9734/ijmpcr/2015/13473
dc.identifier4160558780902988
dc.identifier0000-0001-8467-7278
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8783022
dc.descriptionAim: 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.
dc.descriptionUniversidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Ciências Farmacêuticas de Araraquara, Departamento de Fármacos e Medicamentos, Araraquara, Rodovia Araraquara/Jaú Km 1, Campus, CEP 14801902, SP, Brasil
dc.descriptionUniversidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Ciências Farmacêuticas de Araraquara, Departamento de Fármacos e Medicamentos, Araraquara, Rodovia Araraquara/Jaú Km 1, Campus, CEP 14801902, SP, Brasil
dc.format1-5
dc.languageeng
dc.relationInternational Journal of Medical and Pharmaceutical Case Reports
dc.rightsAcesso restrito
dc.sourceCurrículo Lattes
dc.subjectFluoxetine
dc.subjectSertraline
dc.subjectSerotonergic syndrome
dc.subjectElderly|Primary health care
dc.subjectPharmaceutical care
dc.titleResolution of tremor fluoxetine-induced in an elderly patient
dc.typeArtigo


Este ítem pertenece a la siguiente institución