MetroHealth Medical Center Psychiatry

Cleveland, OH, United States

MetroHealth Medical Center Psychiatry

Cleveland, OH, United States
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Forcen F.E.,MetroHealth Medical Center Psychiatry | Martinez F.L.E.,University of Murcia | Moya A.M.,Hospital Virgen Of La Arrixaca Psychiatry
Clinical Schizophrenia and Related Psychoses | Year: 2012

Varenicline is gaining popularity for the treatment of nicotine dependence. General treatment guidelines recommend monitoring for behavioral changes in patients with a mental illness. There are very few cases reported on patients developing psychiatric symptoms with no previous history. We are reporting the case of a Spanish patient who had developed a first-psychotic episode after he was started on varenicline. He was ultimately diagnosed with a paranoid personality disorder. Therefore, prior to starting a patient on varenicline, the clinician must identify possible paranoid and other cluster A personality traits. It is essential to monitor for new onset of psychotic symptoms during the treatment with this drug.


PubMed | MetroHealth Medical Center Psychiatry
Type: Case Reports | Journal: Clinical schizophrenia & related psychoses | Year: 2011

Varenicline is gaining popularity for the treatment of nicotine dependence. General treatment guidelines recommend monitoring for behavioral changes in patients with a mental illness. There are very few cases reported on patients developing psychiatric symptoms with no previous history. We are reporting the case of a Spanish patient who had developed a first-psychotic episode after he was started on varenicline. He was ultimately diagnosed with a paranoid personality disorder. Therefore, prior to starting a patient on varenicline, the clinician must identify possible paranoid and other cluster A personality traits. It is essential to monitor for new onset of psychotic symptoms during the treatment with this drug.

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