title: [Myoclonus as a side effect to citalopram treatment in a patient with liver cirrhosis].
abstract: Side effects such as myoclonus and tremor are rare when treating with selective serotonin reuptake inhibitors (SSRIs). We present a case where a patient with known liver cirrho-sis and in treatment with citalopram developed myoclonus, tremor and gait difficulties. The symptoms were reduced when the SSRI dose was decreased. In patients with unexplained movement disorders the usage of SSRIs should be considered as a cause. Furthermore, treatment with SSRIs should be carefully assessed in patients with reduced liver function.
authors.affiliation: mimmi.forsberg-gillving@rsyd.dk.
authors.forename: Mimmi
authors.initials: M
authors.lastname: Forsberg-Gillving
authors.forename: Matthias
authors.initials: M
authors.lastname: Bode
authors.forename: Søren Hein
authors.initials: SH
authors.lastname: Sindrup
mesh_terms: D015283:Citalopram / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008875:Middle Aged; D009207:Myoclonus / Q000139:chemically induced* / Q000175:diagnosis; D017367:Selective Serotonin Reuptake Inhibitors / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D014202:Tremor / Q000139:chemically induced / Q000175:diagnosis
chemical_list: D015283:Citalopram; D017367:Selective Serotonin Reuptake Inhibitors