查詢結果分析
來源資料
頁籤選單縮合
題名 | Schizophreniform-Like Psychotic Disorder Induced by Phentermine: A Case Report=Phentermine引起之類精神分裂性精神病:一病例報告 |
---|---|
作者 | 李淑花; 劉嘉逸; 楊庸一; Lee, Shwu-hua; Liu, Chia-yih; Yang, Yong-yi; |
期刊 | 中華醫學雜誌 |
出版日期 | 19980100 |
卷期 | 61:1 1998.01[民87.01] |
頁次 | 頁44-47 |
分類號 | 415.9824 |
語文 | eng |
關鍵詞 | 中樞神經興奮劑; 器質性精神病; 物質濫用; Central nervous system stimulants; Organic psychosis; Phentermine; Substance abuse; |
中文摘要 | 本病例報告為一年輕女性,未普有過個人及家族精神病史。病患長期使用含中樞神經興奮性質之減肥藥,phentermino,每天30毫克持續約三年。服藥後有愉悅感、睡眠需求減少、胃口減退及心悸等現象;除此外不曾有過異常精神狀況。到本院求診前一個月,病者增加該藥劑量至每天150到180毫克間,之後開始產生類精神分裂症之狀態,其症狀包括急性發作之失眠、激躁不安、失真感、多疑、關係妄想、被害妄想、被控制妄想、及幻聽。由於沒有個人或家族精神病史,並有使用減肥藥之歷史,及增加藥物劑量與精神病症狀之時間相關性,因此我們懷疑是中樞神經興奮劑相關物質引起之精神病。住院後停止使用該減肥藥並開始使用抗精神病藥物治療,症狀在住院治療二週後明顯改善,並於門診追蹤四個月後停止抗精神病藥物。本文並參考相關文獻討論中樞神經興奮劑引起的精神病之症狀、診斷及預後。 |
英文摘要 | Phentermine is a central nervous system stimulant that can increase brain dopamine levels and has a structure similar to amphetamine. We report a case of schizophreniform-like psychotic disorder induced by phentermine in a young woman without a personal or family history of psychiatric disorders. The patient had taken phentermine 30 mg daily for more than three years. Psychotic symptoms developed acutely after she increased the phentermine dosage to 150-180 mg/day for one month due to an increase in work load. After discontinuation of phentermine and administration of neuroleptics, the psychotic symptoms subsided in two weeks. This is the first documented case of phentermine psychosis in Taiwan. This report will review the literature and discuss the prognosis of central nervous system stimulant-related psychotic disorders. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。