fluvoxamine and Hallucinations

To report a case of recurrent isolated sleep paralysis (RISP), a benign parasomnia with worrisome and frightening sleep paralysis episodes.. description: We describe a case of RISP in a sixteen-year-old girl who seeks medical attention for anxiety symptoms. The sleep paralysis and associated auditory and tactile hallucinations began three years before with worsening in the last year, causing fear of sleeping. The episodes were intensely frightening causing negative impact in patient's sleep, school performance and social function. Medical conditions were excluded, and she started treatment with a selective serotonin reuptake inhibitor with complete resolution of symptoms.. Sleep complaints are often devalued. Therefore, clinicians should actively ask their patients about their sleep during health assessment.

Topics: Academic Performance; Administration, Oral; Adolescent; Anxiety; Diagnosis, Differential; Fear; Female; Fluvoxamine; Hallucinations; Humans; Recurrence; Selective Serotonin Reuptake Inhibitors; Sleep Paralysis; Sleep Wake Disorders; Social Change; Treatment Outcome

Reported herein is a case of obsessive-compulsive disorder with persistent and distressing musical obsessions along with other symptoms. Advanced source analysis of electroencephalographic data indicated high spectral power over the bifrontal region. The musical symptoms were resistant to pharmacotherapy but there was some reduction in frequency and duration of musical obsessions with thought-stopping technique.

Topics: Antidepressive Agents, Second-Generation; Antipsychotic Agents; Drug Therapy, Combination; Electroencephalography; Electrophysiology; Fluvoxamine; Fourier Analysis; Hallucinations; Humans; Male; Music; Obsessive-Compulsive Disorder; Risperidone; Young Adult

Topics: Aged, 80 and over; Amnesia; Antidepressive Agents, Second-Generation; Depressive Disorder, Major; Dose-Response Relationship, Drug; Drug Administration Schedule; Drug Interactions; Drug Therapy, Combination; Female; Fluvoxamine; Hallucinations; Humans; Hypnotics and Sedatives; Pyridines; Zolpidem

This communication describes a patient who developed Schneiderian first-rank symptoms in the course of treatment with fluvoxamine. The patient, a 28-year-old man suffering from panic disorder, developed several first-rank symptoms during fluvoxamine administration. These symptoms abated 1 week after fluvoxamine treatment was discontinued and haloperidol was started. Although haloperidol was discontinued, no further hallucinations or delusions occurred. This finding suggests that fluvoxamine can precipitate Schneiderian first-rank symptoms in some susceptible patients.

Topics: Adult; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Delusions; Diagnosis, Differential; Fluvoxamine; Hallucinations; Haloperidol; Humans; Male; Panic Disorder; Treatment Outcome

To present the case of a patient with acquired deafness who experienced musical hallucinations (MH) and to conduct a review of the relevant literature.. Although MH have been known to occur in some people with deafness, literature on this phenomenon, especially from the perspective of etiology and treatment, is limited.. The case report was prepared using a detailed history, general psychiatric and neurologic examinations, and neurobehavioral assessments, and the pertinent literature from 1965 to 2000 was reviewed.. The patient whose case is reported here had acquired deafness and was assessed to have MH and obsessive-compulsive symptoms that responded to the use of nonantipsychotic medication.. The phenomenon of MH with hearing problems that are either prelingual or acquired can exist separately or be a part of constellation of psychiatric symptoms. No precise etiologic basis is yet clearly identifiable; however, this report offers support for a central mechanism explained by the "Release Theory." Additionally, it appears that such hallucinations might be managed safely with psychotropic medications other than antipsychotics.

Topics: Adult; Carbamazepine; Comorbidity; Deafness; Drug Therapy, Combination; Fluvoxamine; Hallucinations; Humans; Male; Obsessive-Compulsive Disorder; Tinnitus

Topics: Adult; Fluvoxamine; Hallucinations; Humans; Male; Middle Aged; Selective Serotonin Reuptake Inhibitors