Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports

Abstract Background Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a common side effect in patients treated with SSRIs and venlafaxine, while there is little information on SIADH in the treatment of duloxetine for pain. Case presentation The patients were an 83‐year‐old Japan...

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Main Authors: Aoi Sato, Norio Yasui‐Furukori, Yumiko Oda, Misa Yang, Yudai Suzuki, Masataka Shinozaki, Taro Shimizu, Kazutaka Shimoda
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Neuropsychopharmacology Reports
Subjects:
Online Access:https://doi.org/10.1002/npr2.12279
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author Aoi Sato
Norio Yasui‐Furukori
Yumiko Oda
Misa Yang
Yudai Suzuki
Masataka Shinozaki
Taro Shimizu
Kazutaka Shimoda
author_facet Aoi Sato
Norio Yasui‐Furukori
Yumiko Oda
Misa Yang
Yudai Suzuki
Masataka Shinozaki
Taro Shimizu
Kazutaka Shimoda
author_sort Aoi Sato
collection DOAJ
description Abstract Background Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a common side effect in patients treated with SSRIs and venlafaxine, while there is little information on SIADH in the treatment of duloxetine for pain. Case presentation The patients were an 83‐year‐old Japanese male and a 71‐year‐old Japanese female. Several years earlier, they complained of pain. Accidentally, blood tests revealed hyponatremia of 110 mmol/L and 108 mmol/L 35 days and 40 days after initiating duloxetine 20 mg/day, respectively. The hyponatremia of both patients recovered after switching from duloxetine to mianserin. Conclusion We conclude that asymptomatic SIADH was induced by use of duloxetine. Psychiatrists should be aware of this syndrome.
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spelling doaj.art-37467164f82146c5b1123faad13bea242022-12-22T04:21:39ZengWileyNeuropsychopharmacology Reports2574-173X2022-09-0142338739010.1002/npr2.12279Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reportsAoi Sato0Norio Yasui‐Furukori1Yumiko Oda2Misa Yang3Yudai Suzuki4Masataka Shinozaki5Taro Shimizu6Kazutaka Shimoda7Department of Psychiatry Dokkyo Medical University, School of Medicine Shimotsuga‐gun JapanDepartment of Psychiatry Dokkyo Medical University, School of Medicine Shimotsuga‐gun JapanDepartment of Psychiatry Dokkyo Medical University, School of Medicine Shimotsuga‐gun JapanDepartment of Diagnostic and Generalist Medicine Dokkyo Medical University Hospital, School of Medicine Shimotsuga‐gun JapanDepartment of Diagnostic and Generalist Medicine Dokkyo Medical University Hospital, School of Medicine Shimotsuga‐gun JapanDepartment of Psychiatry Dokkyo Medical University, School of Medicine Shimotsuga‐gun JapanDepartment of Diagnostic and Generalist Medicine Dokkyo Medical University Hospital, School of Medicine Shimotsuga‐gun JapanDepartment of Psychiatry Dokkyo Medical University, School of Medicine Shimotsuga‐gun JapanAbstract Background Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a common side effect in patients treated with SSRIs and venlafaxine, while there is little information on SIADH in the treatment of duloxetine for pain. Case presentation The patients were an 83‐year‐old Japanese male and a 71‐year‐old Japanese female. Several years earlier, they complained of pain. Accidentally, blood tests revealed hyponatremia of 110 mmol/L and 108 mmol/L 35 days and 40 days after initiating duloxetine 20 mg/day, respectively. The hyponatremia of both patients recovered after switching from duloxetine to mianserin. Conclusion We conclude that asymptomatic SIADH was induced by use of duloxetine. Psychiatrists should be aware of this syndrome.https://doi.org/10.1002/npr2.12279duloxetineorthopedicspainSIADHSNRI
spellingShingle Aoi Sato
Norio Yasui‐Furukori
Yumiko Oda
Misa Yang
Yudai Suzuki
Masataka Shinozaki
Taro Shimizu
Kazutaka Shimoda
Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
Neuropsychopharmacology Reports
duloxetine
orthopedics
pain
SIADH
SNRI
title Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
title_full Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
title_fullStr Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
title_full_unstemmed Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
title_short Asymptomatic syndrome of inappropriate secretion of antidiuretic hormone (SIADH) following duloxetine treatment for pain with depression: Two case reports
title_sort asymptomatic syndrome of inappropriate secretion of antidiuretic hormone siadh following duloxetine treatment for pain with depression two case reports
topic duloxetine
orthopedics
pain
SIADH
SNRI
url https://doi.org/10.1002/npr2.12279
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