Related Experiment Videos
[Acute psychosis following bupropion overdosage]
Maria Bergkvist Hansen1, Kirsten Braendholt Rasmussen, Vagn Braendholt
1Børneafdelingen, Sygehus Syd Naestved, DK-4700 Naestved. mihs@regionsjaelland.dk
Ugeskrift for Laeger
|November 19, 2008
Summary
Bupropion overdose in a teen caused hallucinations and rapid heart rate. Fortunately, the 14-year-old boy recovered fully without lasting effects from the antidepressant medication.
Area of Science:
- Pharmacology
- Toxicology
- Adolescent Medicine
Background:
- Bupropion is an antidepressant medication prescribed for smoking cessation in Denmark.
- Known toxicological side effects include insomnia, gastrointestinal distress, tachycardia, and seizures.
Observation:
- A case study involving a 14-year-old boy who intentionally ingested 1500 mg of bupropion is presented.
- The adolescent experienced significant adverse effects following the overdose.
Findings:
- The patient developed pronounced hallucinations and tachycardia after ingesting 1500 mg of bupropion.
- Despite the severe symptoms, the boy experienced a complete recovery without any long-term sequelae.
Implications:
- This case highlights the potential for severe toxicological effects even with moderate bupropion overdose in adolescents.
- It underscores the importance of monitoring and supportive care in managing bupropion toxicity in young individuals.
- Further research into adolescent bupropion toxicity may inform clinical management guidelines.
Related Concept Videos
Psychosis and Antipsychotic Drugs: Overview
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
Psychosis: Goals of Pharmacotherapy
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
Mania and Antimanic Drugs: Overview
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as a...
Desensitization and Tachyphylaxis
Tachyphylaxis is described as a rapid decrease in response to a drug after repeated or continuous administration of the same drug dose. It is a phenomenon where the body becomes less responsive to a particular substance or intervention over time, requiring higher doses or stronger interventions to achieve the same effect. It results from adaptive changes in the body's receptors, signaling pathways, or physiological processes that occur in response to prolonged exposure to a stimulus.
Several...
Several...
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
Antidepressant Drugs: MAOIs and Other Agents
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...