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Related Experiment Videos

Fluoxetine toxicity in a preterm infant.

C G Mohan1, J J Moore

  • 1Department of Pediatrics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|November 15, 2000
PubMed
Summary

Neonatal exposure to fluoxetine can cause motor automatism and skin issues in preterm infants. Symptoms resolved by 7 days, with normal neurodevelopment at 4 months.

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Area of Science:

  • Neonatal pharmacology
  • Developmental pediatrics
  • Clinical toxicology

Background:

  • Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine cross the placenta.
  • Neonatal adaptation to maternal medication exposure requires careful monitoring.
  • Understanding drug effects on preterm infants is crucial for clinical management.

Observation:

  • A preterm infant presented with significant motor automatism and dermatologic findings.
  • In utero exposure to fluoxetine was identified as the potential cause.
  • Elevated fluoxetine levels in the neonate were consistent with adult therapeutic ranges.

Findings:

  • Neurologic symptoms, including motor automatism, were observed in the neonate.
  • Skin manifestations were also noted in conjunction with neurologic signs.
  • Fluoxetine levels at 96 hours of age were 92 ng/ml, within the adult therapeutic range.

Implications:

  • This case highlights the potential for neonatal toxicity from maternal fluoxetine use.
  • Early identification and monitoring of neonatal symptoms are essential.
  • Resolution of symptoms and normal neurodevelopmental outcome suggest transient effects in this case.

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