Possible sertraline-induced extrapyramidal adverse effects in an adolescent

Lian-fang Wang,1 Jin-wen Huang,1 Si-yang Shan,2 Jia-hong Ding,3 Jian-bo Lai,1,2 Yi Xu,1,4 Shao-hua Hu1,4 1Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, 2Faculty of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, Peopl...

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Main Authors: Wang L, Huang J, Shan S, Ding J, Lai J, Xu Y, Hu S
Format: Article
Language:English
Published: Dove Medical Press 2016-05-01
Series:Neuropsychiatric Disease and Treatment
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Online Access:https://www.dovepress.com/possible-sertraline-induced-extrapyramidal-adverse-effects-in-an-adole-peer-reviewed-fulltext-article-NDT
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author Wang L
Huang J
Shan S
Ding J
Lai J
Xu Y
Hu S
author_facet Wang L
Huang J
Shan S
Ding J
Lai J
Xu Y
Hu S
author_sort Wang L
collection DOAJ
description Lian-fang Wang,1 Jin-wen Huang,1 Si-yang Shan,2 Jia-hong Ding,3 Jian-bo Lai,1,2 Yi Xu,1,4 Shao-hua Hu1,4 1Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, 2Faculty of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China; 3Department of Psychology, University of Hong Kong, Pokfulam, Hong Kong; 4The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, National Clinical Research Center for Mental Health Disorders, Hangzhou, Zhejiang, People’s Republic of China Abstract: Sertraline has been considered to be a relatively safe selective serotonin reuptake inhibitor for adolescents for a long time. We report herein a case of a 16-year-old Chinese boy with depression who experienced extrapyramidal-like effects, for example, facial spasm, upper limb dystonia, akathisia, and other disturbed behaviors, while being treated with sertraline 200 mg per day. His movement symptoms were significantly alleviated after the discontinuation of sertraline and the administration of scopolamine. This finding indicates that albeit infrequent, sertraline may cause severe extrapyramidal symptoms in adolescent patients, suggesting that clinicians should be alert to the neurological side effects of sertraline in young patients. Keywords: adolescents, selective serotonin reuptake inhibitors, sertraline, extrapyramidal symptoms
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spelling doaj-art-bef29ec3661b44e4841d9b44dc73be112025-06-26T01:58:35ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-05-01Volume 12Issue 11127112926815Possible sertraline-induced extrapyramidal adverse effects in an adolescentWang LHuang JShan SDing JLai J0Xu YHu SDepartment of PsychiatryLian-fang Wang,1 Jin-wen Huang,1 Si-yang Shan,2 Jia-hong Ding,3 Jian-bo Lai,1,2 Yi Xu,1,4 Shao-hua Hu1,4 1Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, 2Faculty of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China; 3Department of Psychology, University of Hong Kong, Pokfulam, Hong Kong; 4The Key Laboratory of Mental Disorder’s Management in Zhejiang Province, National Clinical Research Center for Mental Health Disorders, Hangzhou, Zhejiang, People’s Republic of China Abstract: Sertraline has been considered to be a relatively safe selective serotonin reuptake inhibitor for adolescents for a long time. We report herein a case of a 16-year-old Chinese boy with depression who experienced extrapyramidal-like effects, for example, facial spasm, upper limb dystonia, akathisia, and other disturbed behaviors, while being treated with sertraline 200 mg per day. His movement symptoms were significantly alleviated after the discontinuation of sertraline and the administration of scopolamine. This finding indicates that albeit infrequent, sertraline may cause severe extrapyramidal symptoms in adolescent patients, suggesting that clinicians should be alert to the neurological side effects of sertraline in young patients. Keywords: adolescents, selective serotonin reuptake inhibitors, sertraline, extrapyramidal symptomshttps://www.dovepress.com/possible-sertraline-induced-extrapyramidal-adverse-effects-in-an-adole-peer-reviewed-fulltext-article-NDTadolescentsselective serotonin reuptake inhibitorssertralineextrapyramidal symptoms
spellingShingle Wang L
Huang J
Shan S
Ding J
Lai J
Xu Y
Hu S
Possible sertraline-induced extrapyramidal adverse effects in an adolescent
Neuropsychiatric Disease and Treatment
adolescents
selective serotonin reuptake inhibitors
sertraline
extrapyramidal symptoms
title Possible sertraline-induced extrapyramidal adverse effects in an adolescent
title_full Possible sertraline-induced extrapyramidal adverse effects in an adolescent
title_fullStr Possible sertraline-induced extrapyramidal adverse effects in an adolescent
title_full_unstemmed Possible sertraline-induced extrapyramidal adverse effects in an adolescent
title_short Possible sertraline-induced extrapyramidal adverse effects in an adolescent
title_sort possible sertraline induced extrapyramidal adverse effects in an adolescent
topic adolescents
selective serotonin reuptake inhibitors
sertraline
extrapyramidal symptoms
url https://www.dovepress.com/possible-sertraline-induced-extrapyramidal-adverse-effects-in-an-adole-peer-reviewed-fulltext-article-NDT
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