Reactions 1680, p268 - 2 Dec 2017 Various toxicities: 2 case reports In a case series of three women, two women (a 65-year-old and a 59-year-old) were described, one of them developed nausea during treatment with venlafaxine and olanzapine, and the other women developed worsening of mood, delusions of poisoning and auditory hallucinations, and attempted suicide during sertraline therapy. Case A: A 65-year-old woman, who had recurrent major depression, was started on olanzapine 10mg and venlafaxine 150mg [routes and frequencies not stated], along with lorazepam. She responded well to the treatment; however, during first three days of treatment she experienced nausea, which resolved spontaneously. Case C: A 59-year-old woman, who had recurrent major depression disorder, for which she was hospitalised. She was discharged with high dose sertraline 300mg per day [route not stated], along with trazodone, flurazepam and alprazolam. After seven days of treatment, she was hospitalised for attempted suicide. The worsening of her mood, delusions of poisoning and auditory hallucinations were found to be the motivating factors for her suicide attempt. Gradually, the sertraline dose was tapered and finally discontinued. She was stared on venlafaxine and olanzapine, resulting in quick resolution of symptoms. Author comment: "The combination of venlafaxine and olanzapine was well tolerated, with the exception of nausea during the first three days of treatment which spontaneously disappeared." "[W]e considered the possibility that the prescribed high dosage of sertraline may have induced the patient’s psychotic symptoms." Ghio L, et al. Combined venlafaxine and olanzapine prescription in women with psychotic major depression: A case series. Case Reports in Medicine 2011: 2011. Available from: URL: http://doi.org/10.1155/2011/856903 - Italy 803283941 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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