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Olanzapine Bağlı Obsesif-Kompülsif Semptomlar Oluşan Bir Capgras Sendromu Olgusu
2019
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

Capgras sendromu, kişinin kendisine yakın olan diğer kişilerin, nesnelerin, kendisinin tıpatıp benzerleri ile değiştirildikleri biçiminde sanrısal bir inanıştır. Bu sendrom daha çok şizofreni kavramı içinde yer alır. Capgras sendromunun tedavisi altta yatan bozukluğun tedavisidir. Klozapin, risperidon, olanzapin ve ketiapin gibi tedavi için kullanılan atipik antipsikotikler hastalarda obsesif kompülsif semptomlar meydana getirebilirler. Bu durumda hastanın psikotik belirtileri mevcut tedaviden fayda görüyorsa mevcut antipsikotik tedavi kesilmez. Bunun yerine serotonin geri-alım inhibitörü ya da klomipramin gibi obsesif kompülsif belirtiler için etkili başka bir grup ilaç eklenebilir. Bu yazıda olanzapin tedavisinden fayda gören Capgras sendromu bulunan, şizofreni tanısı konmuş bir hastadan bahsedilmiştir. Olanzapin tedavisi, hastada obsesif kompülsif semptomlar meydana getirmiştir. Obsesif kompülsif belirtiler, Yale-Brown Obsesyon Kompulsiyon Derecelendirme Ölçeği ile değerlendirilmiştir. Hasta olanzapinden fayda gördüğü için olanzapin kesilmemiştir. Bunun yerine tedaviye fluoksetin eklenmiştir. Hastanın obsesif kompülsif belirtileri tedaviye fluoksetin eklenmesiyle azalmıştır.

Keywords:

Capgras syndrome with obsessive-compulsive symptoms associated with olanzapine
2019
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

Capgras syndrome is a mental belief in the way other persons, objects, who are close to him, are altered by others. This syndrome is more included in the concept of schizophrenia. The treatment of Capgras syndrome is the treatment of the underlying disorder. Atypical antipsychotics used for treatment such as klozapine, risperidon, olanzapin and ketiapine can cause obsessive compulsive symptoms in patients. In this case, if the patient's psychotic symptoms benefit from the existing treatment, the existing antipsychotic treatment will not be interrupted. Instead, another group of drugs that are effective for obsessive compulsive symptoms, such as serotonin reumatoid inhibitors or clomipramine, can be added. In this article, a patient with Capgras syndrome, who was diagnosed with schizophrenia, was to benefit from the treatment of olanzapin. The treatment of Olanzapin has caused obsessive compulsive symptoms in the patient. Obsessive compulsive symptoms have been assessed by the Yale-Brown Obsesion Compulsion Score. The patient has not been given any benefits because it has not been given. Instead, fluoxetine was added to the treatment. The patient’s obsessive compulsive symptoms have been reduced by the addition of fluoxetine to the treatment.

Keywords:

0
2019
Journal:  
Dicle Tıp Dergisi
Author:  
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Dicle Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 1.608
Cite : 3.103
2023 Impact : 0.081
Dicle Tıp Dergisi