Debat | Leder 06/12
Patient med nedsat leverfunktion fik myoklonier under behandling med selektive serotoningenoptagelseshæmmere
Myoclonus as a side effect to citalopram treatment in a patient with liver cirrhosis
Ugeskr Læger 2015;177:V04150325Side effects such as myoclonus and tremor are rare when treating with selective serotonin reuptake inhibitors (SSRIs). We present a case where a patient with known liver cirrhosis and in treatment with citalopram developed myoclonus, tremor and gait difficulties. The symptoms were reduced when the SSRI dose was decreased. In patients with unexplained movement disorders the usage of SSRIs should be considered as a cause. Furthermore, treatment with SSRIs should be carefully assessed in patients with reduced liver function.