Plasma catecholamine metabolites in antidepressant-exacerbated mania and psychosis

J Affect Disord. 2002 Apr;68(2-3):331-4. doi: 10.1016/s0165-0327(00)00327-x.

Abstract

We measured plasma free HVA and MHPG in 39 cases of psychosis or mania judged to be caused by antidepressant exacerbation of symptoms. A total of 24 of patients had been receiving selective serotonin reuptake inhibitors (SSRI's). The SSRI group showed a pattern of increased plasma HVA similar to a comparison group of patients with a psychotic/manic relapse secondary to medication non-compliance.

MeSH terms

  • Adult
  • Antidepressive Agents / adverse effects*
  • Antidepressive Agents / therapeutic use
  • Bipolar Disorder / blood
  • Bipolar Disorder / chemically induced*
  • Bipolar Disorder / diagnosis
  • Catecholamines / blood*
  • Comorbidity
  • Female
  • Homovanillic Acid / blood
  • Humans
  • Male
  • Middle Aged
  • Psychoses, Substance-Induced / blood*
  • Psychoses, Substance-Induced / diagnosis
  • Risk Factors
  • Selective Serotonin Reuptake Inhibitors / adverse effects*
  • Selective Serotonin Reuptake Inhibitors / therapeutic use

Substances

  • Antidepressive Agents
  • Catecholamines
  • Serotonin Uptake Inhibitors
  • Homovanillic Acid