Skin rash following combination treatment of sertraline and mirtazapine

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Küçük Resim

Tarih

2016

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Yerkure Tanitim & Yayincilik Hizmetleri A S

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Dear Editor, In psychiatry clinic practice shows that sertraline and mirtazapine are commonly used drugs for antidepressant medication (1). Here we report a case of skin rash after using a combination of sertraline and mirtazapine. A 53-year-old man presented with a two months history of depressive mood, anhedonia, lack of energy, loss of interest, insomnia, malaise, poor concentration, loss of appetite and anxiety. We diagnosed major depression to the patient according to DSM-5 criteria, and we started sertraline 50 mg/d and mirtazapine 15mg/d as an antidepressant medication to the patient. Within three days after starting treatment, he was admitted to dermatology outpatient unit because of generalized maculopapular spreading erythematic rash over his trunk with pruritus. Laboratory investigations were within normal limits. Sertraline and mirtazapine were immediately discontinued, histamine receptor antagonist and steroid medication started. The patient’s symptoms resolved within the following five days after discontinuation of sertraline and mirtazapine. The patient had no history of drug allergy or dermatological diseases. In the past, the patient had a history of both mirtazapine and sertraline medication at different times, but there were no dermatologic side effects. The Naranjo probability scale was administered, and a score of 6 was obtained, suggesting a probable adverse effect associated with the combination of sertraline and mirtazapine (2).

Açıklama

Anahtar Kelimeler

Sertraline, Mirtazapine, Skin Rash, Combination of Sertraline, Depressive Mood, Anhedonia

Kaynak

Journal Of Mood Disorders

WoS Q Değeri

N/A

Scopus Q Değeri

Cilt

6

Sayı

2

Künye