title: [Psychotic illness during treatment with clomifen].
abstract: Psychotic illness recurred in a 25-year-old manic-depressive woman during anti-infertility treatment with clomiphene citrate. The symptoms of this episode (disturbance of consciousness, psychomotoric abnormalities, paranoid-hallucinatory syndrome with transient neurological dysfunctions) differed significantly from previous and subsequent psychotic patterns. No organic cause other than treatment with clomiphene could be discovered despite intensive diagnostic efforts. The pathogenetic role of clomiphene is supported by comparable findings in certain post-partum psychoses. Women with a history of psychiatric disorders are especially at risk.
authors.affiliation: Psychiatrische Klinik und Poliklinik, Universität München.
authors.forename: H P
authors.initials: HP
authors.lastname: Kapfhammer
authors.forename: T
authors.initials: T
authors.lastname: Messer
authors.forename: P
authors.initials: P
authors.lastname: Hoff
mesh_terms: D000208:Acute Disease; D000328:Adult; D001714:Bipolar Disorder / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D002996:Clomiphene / Q000008:administration & dosage / Q000009:adverse effects*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D010062:Ovulation Induction; D011599:Psychopathology; D011605:Psychoses, Substance-Induced / Q000188:drug therapy / Q000209:etiology* / Q000523:psychology; D012008:Recurrence
chemical_list: D002996:Clomiphene
vernacular_title: Psychotische Erkrankung während einer Behandlung mit Clomifen.