Diplopia; an Adverse Effect of Citalopram

Citalopram, a selective serotonin reuptake inhibitor (SSRI), was approved by the Food and Drug Administration in 1998 as a safe and well-tolerated antidepressant; the use of it may result in rare and sometimes dangerous side effects. Diplopia is a rare adverse effect of citalopram that comes with do...

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Main Authors: Seyed Hamzeh Hosseini, Amirhossein Ahmadi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2019-09-01
Series:Pharmaceutical and Biomedical Research
Subjects:
Online Access:http://pbr.mazums.ac.ir/article-1-240-en.html
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author Seyed Hamzeh Hosseini
Amirhossein Ahmadi
author_facet Seyed Hamzeh Hosseini
Amirhossein Ahmadi
author_sort Seyed Hamzeh Hosseini
collection DOAJ
description Citalopram, a selective serotonin reuptake inhibitor (SSRI), was approved by the Food and Drug Administration in 1998 as a safe and well-tolerated antidepressant; the use of it may result in rare and sometimes dangerous side effects. Diplopia is a rare adverse effect of citalopram that comes with double vision and disrupts daily living. Currently, only two cases of citalopram-related diplopia have been internationally reported. The current paper presents a third reported case of diplopia following citalopram use in a healthy subject. A 47-year-old man involved in an accident was subsequently affected by serious depression. Following 6 months of a 40-mg daily dose of citalopram, the patient complained of itchy irritated eyes and double vision symptomatic of diplopia. He was referred to an eye specialist, who confirmed no apparent problems following an examination of the eye. After a decrease in the dose of citalopram, the eye symptoms steadily decreased and eventually disappeared. The rapid disappearance of diplopia subsequent to the discontinuing use of citalopram suggests an association between the adverse reaction and the medicine. As a result, it is recommended that physicians inform patients of the possibility of induction of diplopia related to the use of citalopram and other SSRIs. In the future, the prescription of SSRIs at higher doses may be ordered with and on the recommendation of patients, who have been aware of the risks of the drug.
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spelling doaj.art-da7fddcf1a1447a1b3cd47e8566909e82022-12-22T01:12:17ZengMazandaran University of Medical SciencesPharmaceutical and Biomedical Research2423-44942019-09-01534546Diplopia; an Adverse Effect of CitalopramSeyed Hamzeh Hosseini0Amirhossein Ahmadi1 Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran Pharmaceutical Sciences Research Center, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran Citalopram, a selective serotonin reuptake inhibitor (SSRI), was approved by the Food and Drug Administration in 1998 as a safe and well-tolerated antidepressant; the use of it may result in rare and sometimes dangerous side effects. Diplopia is a rare adverse effect of citalopram that comes with double vision and disrupts daily living. Currently, only two cases of citalopram-related diplopia have been internationally reported. The current paper presents a third reported case of diplopia following citalopram use in a healthy subject. A 47-year-old man involved in an accident was subsequently affected by serious depression. Following 6 months of a 40-mg daily dose of citalopram, the patient complained of itchy irritated eyes and double vision symptomatic of diplopia. He was referred to an eye specialist, who confirmed no apparent problems following an examination of the eye. After a decrease in the dose of citalopram, the eye symptoms steadily decreased and eventually disappeared. The rapid disappearance of diplopia subsequent to the discontinuing use of citalopram suggests an association between the adverse reaction and the medicine. As a result, it is recommended that physicians inform patients of the possibility of induction of diplopia related to the use of citalopram and other SSRIs. In the future, the prescription of SSRIs at higher doses may be ordered with and on the recommendation of patients, who have been aware of the risks of the drug.http://pbr.mazums.ac.ir/article-1-240-en.htmldiplopiadouble visionadverse effectcitalopram
spellingShingle Seyed Hamzeh Hosseini
Amirhossein Ahmadi
Diplopia; an Adverse Effect of Citalopram
Pharmaceutical and Biomedical Research
diplopia
double vision
adverse effect
citalopram
title Diplopia; an Adverse Effect of Citalopram
title_full Diplopia; an Adverse Effect of Citalopram
title_fullStr Diplopia; an Adverse Effect of Citalopram
title_full_unstemmed Diplopia; an Adverse Effect of Citalopram
title_short Diplopia; an Adverse Effect of Citalopram
title_sort diplopia an adverse effect of citalopram
topic diplopia
double vision
adverse effect
citalopram
url http://pbr.mazums.ac.ir/article-1-240-en.html
work_keys_str_mv AT seyedhamzehhosseini diplopiaanadverseeffectofcitalopram
AT amirhosseinahmadi diplopiaanadverseeffectofcitalopram