Journal
JOURNAL OF PSYCHIATRIC PRACTICE
Volume 20, Issue 3, Pages 228-231Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.pra.0000450323.37038.a9
Keywords
escitalopram; selective serotonin reuptake inhibitors (SSRIs); rebound; mania; switch; major depressive disorder
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Discontinuation or withdrawal symptoms have been documented for all major classes of antidepressants, especially the selective serotonin reuptake inhibitors (SSRIs). It has been reported that an antidepressant withdrawal syndrome may induce manic states in patients treated for major depression, even in the absence of a history of bipolar disorder. We report the case of a young woman with unipolar depression who developed a manic state after abrupt discontinuation of low-dose escitalopram. This manic state remitted when escitalopram was reintroduced within a week after the interruption of treatment.
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