title: [Psychiatric disorders with use of simvastatin].
abstract: Three patients are described with serious psychiatric complications related to use of simvastatin. The psychiatric symptoms concerned were mainly depression, anxiety and suicidal tendencies but also psychotic symptoms. The hypothesis is developed that in a particular population psychiatric (mood) disorders may be triggered by use of simvastatin or other cholesterol lowering compounds. A low or lowered cholesterol level may be related to disturbances in the cerebral serotonin metabolism. It may be necessary to be more alert for psychiatric (mood) disorders when a cholesterol lowering treatment (with simvastatin) is started and to stop it when psychiatric symptoms develop, or grow worse.
authors.affiliation: Psychiatrisch Centrum Amsterdam Zuid/Nieuw-West.
authors.forename: N
authors.initials: N
authors.lastname: Duits
authors.forename: F M
authors.initials: FM
authors.lastname: Bos
mesh_terms: D000328:Adult; D000924:Anticholesteremic Agents / Q000009:adverse effects*; D001008:Anxiety Disorders / Q000139:chemically induced; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D006937:Hypercholesterolemia / Q000188:drug therapy*; D008148:Lovastatin / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D008875:Middle Aged; D011605:Psychoses, Substance-Induced / Q000209:etiology*; D019821:Simvastatin
chemical_list: D000924:Anticholesteremic Agents; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D008148:Lovastatin; D019821:Simvastatin
vernacular_title: Psychiatrische stoornissen bij simvastatine-gebruik.