Reactions 1680, p75 - 2 Dec 2017
Mania with psychotic features: case report
A 22-year-old woman developed mania with psychotic
features during treatment with cabergoline [Dostinex; route
and dosage not stated].
The woman, who was diagnosed with infertility due to
hyperprolactinaemia, presented to the psychiatric unit after
four days of the first dose of cabergoline. Her family reported
the changes in her behaviour, insomnia, self-talking, euphoria
and false claims. A psychiatric evaluation revealed that she
appeared euphoric and loudly-laughing with psychomotor
hyperactivity, grandiose behaviour, flight of ideas and
delusions of persecutions. Her mood was labile with impaired
abstract, judgement and pressured speech. The young mania
rating scale score was found to be 40. A diagnosis of mania
with psychotic features was made.
The woman’s cabergoline treatment was discontinued. She
was successfully managed with aripiprazole and
carbamazepine. Three weeks later, her manic symptoms
improved with a resolution of her psychiatric symptoms.
Author comment: "Hereby, we report a case of
cabergoline-induced mania with psychotic features in a
patient with hyperprolactinemia."
Aziz MAE, et al. Mania-like symptoms induced by dopamine agonist treatment in
a patient with hyperprolactinemia: A case report and a review of the literature.
CNS Spectrums 22: 87-88 abstr. 145, No. 1, Feb 2017. Available from: URL:
http://doi.org/10.1017/S1092852916000900 [abstract] - Egypt
Reactions 2 Dec 2017 No. 16800114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved