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Distressing Visual Hallucinations after Treatment with Trazodone
Trazodone, a second-generation atypical antidepressant, is increasingly being used off-label, in the treatment of insomnia. Although generally well tolerated, trazodone treatment can be associated with some complications. We describe a case of a 60-year-old man who received trazodone for primary ins...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494093/ https://www.ncbi.nlm.nih.gov/pubmed/28702268 http://dx.doi.org/10.1155/2017/6136914 |
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author | Santos, Gustavo Moreira, Ana Maria |
author_facet | Santos, Gustavo Moreira, Ana Maria |
author_sort | Santos, Gustavo |
collection | PubMed |
description | Trazodone, a second-generation atypical antidepressant, is increasingly being used off-label, in the treatment of insomnia. Although generally well tolerated, trazodone treatment can be associated with some complications. We describe a case of a 60-year-old man who received trazodone for primary insomnia. He returned, to the emergency department, two days later with distressing visual hallucinations, which prompted inpatient treatment. Trazodone was discontinued, leading to a complete resolution of his visual hallucinations, and he was treated with mirtazapine for 6 months. There has been no relapse in a follow-up period of two years. Patients presenting with visual hallucinations without significant psychiatry history can be a challenging situation. We highlight the importance of careful anamnesis with an accurate medication history. Given the widespread use of trazodone, clinicians should be aware of this possible side effect. |
format | Online Article Text |
id | pubmed-5494093 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-54940932017-07-12 Distressing Visual Hallucinations after Treatment with Trazodone Santos, Gustavo Moreira, Ana Maria Case Rep Psychiatry Case Report Trazodone, a second-generation atypical antidepressant, is increasingly being used off-label, in the treatment of insomnia. Although generally well tolerated, trazodone treatment can be associated with some complications. We describe a case of a 60-year-old man who received trazodone for primary insomnia. He returned, to the emergency department, two days later with distressing visual hallucinations, which prompted inpatient treatment. Trazodone was discontinued, leading to a complete resolution of his visual hallucinations, and he was treated with mirtazapine for 6 months. There has been no relapse in a follow-up period of two years. Patients presenting with visual hallucinations without significant psychiatry history can be a challenging situation. We highlight the importance of careful anamnesis with an accurate medication history. Given the widespread use of trazodone, clinicians should be aware of this possible side effect. Hindawi 2017 2017-06-18 /pmc/articles/PMC5494093/ /pubmed/28702268 http://dx.doi.org/10.1155/2017/6136914 Text en Copyright © 2017 Gustavo Santos and Ana Maria Moreira. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Santos, Gustavo Moreira, Ana Maria Distressing Visual Hallucinations after Treatment with Trazodone |
title | Distressing Visual Hallucinations after Treatment with Trazodone |
title_full | Distressing Visual Hallucinations after Treatment with Trazodone |
title_fullStr | Distressing Visual Hallucinations after Treatment with Trazodone |
title_full_unstemmed | Distressing Visual Hallucinations after Treatment with Trazodone |
title_short | Distressing Visual Hallucinations after Treatment with Trazodone |
title_sort | distressing visual hallucinations after treatment with trazodone |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494093/ https://www.ncbi.nlm.nih.gov/pubmed/28702268 http://dx.doi.org/10.1155/2017/6136914 |
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