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Unexpected outcome (positive or negative) including adverse drug reactions
CASE REPORT
Delusional infestation in the treatment of ADHD with atomoxetine
  1. Catriona F Howes1,
  2. Clifford Sharp2
  1. 1Department of Psychiatry, NHS Borders, Melrose, UK
  2. 2Psychiatry, Huntlyburn, NHS Borders, Melrose, UK
  1. Correspondence to Dr Catriona F Howes, catriona.howes{at}nhs.net

Summary

The case describes an adult diagnosed with attention deficit hyperactivity disorder and treated with atomoxetine who quickly developed a florid case of delusional infestation. The patient described very distressing experiences that were significantly impacting her daily life. The symptoms improved with the withdrawal of atomoxetine and resolved completely with antipsychotic medications. Atomoxetine is proposed as the putative causative agent in this case.

  • psychiatry idrugs and medicines)
  • psychiatry

https://doi.org/10.1136/bcr-2018-226020

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    Footnotes

    • Contributors CFH: assessed and treated the patient and performed literature review. CS: supervised CFH and provided oversight of written case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.