Thin At What Cost? Case Reports Of Sibutramine-Induced Psychotic Disorders
ASEAN Journal of Psychiatry
;
: 213-216, 2014.
Article
in English
| WPRIM
| ID: wpr-626296
ABSTRACT
Objective:
The objective of these 4 case reports is to highlight that psychotic symptom can occur due to the consumption of sibutramine. The psychosis is usually self-remitting, once its consumption is stopped.Methods:
All cases with first episode psychosis presenting to a tertiary mental health Institute in Singapore were screened and 4 consecutive sibutramine-induced psychoses cases are reported.Results:
All the 4 cases that were diagnosed with Sibutramine induced psychoses, had history of consumption of the substance in the tablet form or in substances like slimming tea or slimming powders. In 2 out of the 4 cases, no antipsychotics were started. In the 2 cases that received antipsychotics, they were for short duration. There was a temporal association between the consumption of sibutramine containing substances and the onset of psychotic symptoms. All patients were on follow up for two years and in 2 patients, there were no recurrence of psychotic symptoms. In 2 patient recurrent psychotic symptoms were temporally related with consumption of sibutramine and symptoms remitted when the consumption was stopped.Conclusions:
Despite sibutramine being banned in several countries, it can still be purchased from countries allowing its sale and from online stores. Labeling a patient having schizophrenia can be avoided if detailed history, specifically enquiring about the consumption of sibutramine is obtained.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Health economic evaluation
/
Prognostic study
Language:
English
Journal:
ASEAN Journal of Psychiatry
Year:
2014
Type:
Article
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