Abstract

ABSTRACTPregabalin is a novel isomer of gamma-aminobutyric acid that functions as a major inhibitory neurotransmitter in the brain. It is used daily in medical practice for treating neuropathic pai...

Highlights

  • Pregabalin is a novel isomer of gamma-aminobutyric acid that functions as a major inhibitory neurotransmitter in the brain

  • There is no information in the literature that addresses whether the rapid discontinuation of pregabalin can cause psychosis to occur

  • Studies have shown that the abrupt discontinuation of pregabalin may lead to withdrawal symptoms that are suggestive of physical dependence, such as insomnia, nausea, headache, and diarrhoea [6]

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Summary

Introduction

Pregabalin is a novel isomer of gamma-aminobutyric acid (GABA) that functions as a major inhibitory neurotransmitter in the brain. The patient exhibited signs of withdrawal that included paranoid ideation, auditory hallucinations, and mutism He had engaged in self-mutilative actions and had attempted suicide. The patient was assessed according to the Diagnostic and Statistical Manual (DSM-5); he received a SAPS score of 47 and a SANS score of 59 As a result, he was diagnosed with his first psychotic episode. Seven days after beginning treatment with olanzapine, the patient’s complaints began to diminish At that time, he was reassessed according to the DSM-5; he received a SAPS score of 36 and a SANS score of 45. On the 20th day, the patient’s complaints had largely declined He was assessed according to the DSM-5 and received SAPS and SANS scores of 15 and 18, respectively. After treating with olanzapine for six months, the patient reported that he had no further psychiatric complaints

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