Phendimetrazine 사용으로 유발된 정신증적 장애 및 의존 1예
A Case of Phendimetrazine Induced-Psychotic Disorder and Dependence
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초록
식욕억제제의 대부분은 amphetamine 계통으로 정신증적증상 및 의존의 위험성이 있다. 본 증례의 25세 여성은 phendimetrazine을복용한 이후 정신증적 증상이 발생하여 입원치료를 했지만, 퇴원 후에 다시 phendimetrazine을 복용하게되었다. 결국 정신증적 증상이 재발하였고 더불어 약물에 대한 금단증상과 갈망을 나타내어 phendimetrazine에 대한 의존을 확인할 수 있었다. 최근 국내에서 식욕억제제의 사용이증가하고 있으며, 이러한 부작용의 발생은 더 증가하리라 예상된다. 이러한 위험성을 충분히 고려하여 식욕억제제 처방과 사용에 대한 세심한 주의와 엄격한 지침이 필요하겠다.
Abstract
Phendimetrazine and related amphetamine-like compounds are used widely as appetite suppressants in Korea. We report on a patient who developed psychotic disorder and dependence while using phendimetrazine. A 25-year-old female with no psychiatric history began experiencing hallucination of bugs after using phendimetrazine for weight loss for five months. She was admitted and the drug was stopped. Three days later, her psychotic symptoms had subsided and she returned home. Two months after discharge, against medical advice, she returned to a clinic to obtain phendimetrazine for its anorectic effect. She continued using phendimetrazine because she had developed withdrawal symptoms and experienced cravings for it. Within two months of restarting the drug, she had developed paranoid delusions, auditory and olfactory hallucinations. She was readmitted, and was confirmed to have a dependence on phendimetrazine. This case provides a warning that amphetamine-related anorectics can cause psychotic disorder and dependence.
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