Steroid withdrawal
syndrome (SWS) following
steroid dependence is becoming a common clinical condition. It may be associated with
body image disorder. Though
selective serotonin reuptake inhibitors (
SSRIs) are found to be effective SWS associated
depression, data for this clinical condition is limited. We present a case of SWS associated with
body image disorder which improved with
mirtazapine.
Mirtazapine might be better option than
SSRIs in this subgroup of
patients for its noradrenergic property and better gastrointestinal profile. More
research should explore its
efficacy in this clinical condition.