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Memantine induces manic episode in a 73-year-old patient with vascular neurocognitive disorder: a case report
Jinfeng Duan1,2, Chengming Lao3,4, Jingkai Chen1,2
1Department of Psychiatry, First Affiliated Hospital, College of Medicine, Zhejiang University, The Key Laboratory of Mental Disorder's Management of Zhejiang Province, Hangzhou, People's Republic of China.
Abstract:
Memantine, an N-methyl-d-aspartate receptor antagonist, is a well-established treatment option for moderate-to-severe cognitive impairment related to Alzheimer disease. Recently, growing evidence has indicated memantine might also be effective in treatment of affective disorders. The common drug-induced adverse events of memantine include confusion, dizziness, drowsiness, headache, insomnia, and agitation. Herein, we presented a case of a 73-year-old female patient with vascular neurocognitive disorder, who developed a manic episode after taking memantine.
Insights
Memantine, an N-methyl-d-aspartate receptor antagonist, is used for Alzheimer's disease. A case study shows memantine may induce manic episodes in patients with vascular neurocognitive disorder.
Area of Science:
- Neuroscience
- Pharmacology
- Psychiatry
Background:
- Memantine is an NMDA receptor antagonist approved for Alzheimer's disease.
- Emerging evidence suggests potential efficacy in affective disorders.
- Common side effects include confusion, dizziness, and agitation.
Observation:
- A 73-year-old female patient with vascular neurocognitive disorder was treated with memantine.
- The patient developed a manic episode during memantine treatment.
Findings:
- This case report details a rare adverse event associated with memantine.
- The patient's manic episode occurred after initiating memantine therapy.
Implications:
- Clinicians should be aware of the potential for memantine to induce mania.
- Further research is needed to understand the neuropsychiatric effects of memantine.
- This case highlights the importance of monitoring for mood changes in patients receiving memantine.
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