Reactions 1422 - 6 Oct 2012

Citalopram

Nightmares: case reportA 55-year-old man presented in March 2011 with

feelings of depression, anhedonia and hopelessness, poorsleep, low energy level and reduced concentration. He washospitalised and began receiving oral citalopram 20mgdaily for depression; his usual medications, includingbenazepril, nifedipine, warfarin and omeprazole wererestarted. On the sixth day of citalopram therapy heexperienced scary, vivid dreams in which he saw himselfjumping in front of a train. He said the dreams were intenseand memorable, and similar nightmares occurred for thenext 2 days. He awoke each time, anxious and frightened.Citalopram was switched to bupropion and, 1 day later, hisnightmares stopped.

Author comment: "In our patient, the temporalrelationship between the initiation of treatment withcitalopram and onset of nightmares suggest a causal etiology."Arora G, et al. Citalopram and nightmares. Journal of Neuropsychiatry and ClinicalNeurosciences 24: E43, No. 2, Jul 2012 - USA 803077603

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Reactions 6 Oct 2012 No. 14220114-9954/10/1422-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved