[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Editorial Board::
Executive Members::
Instruction to Authors::
Peer Review::
Articles Archive::
Indexing Databases::
Contact Us::
Site Facilities::
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 20, Issue 2 (7-2018) ::
J Gorgan Univ Med Sci 2018, 20(2): 120-123 Back to browse issues page
Trazodone induced urinary incontinence in woman at menopause period: A case report
Pezhman Hadinezhad1 , Seyyed Hamzeh Hosseini *2
1- Psychiatry Resident, Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran
2- Professor of Psychiatry, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Faculty member of Mazandaran University of Medical Sciences, Sari, Iran. hosseinish20@gmail.com , hosseinish20@gmail.com
Keywords: Trazodone, Urinary incontinence, Menopause
Full-Text [PDF 196 kb] [English Abstract]   (23746 Downloads)     |   Abstract (HTML)  (23203 Views)
Type of Study: Case Report | Subject: Psychiatry
* Corresponding Author Address: Professor of Psychiatry, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Faculty member of Mazandaran University of Medical Sciences, Sari, Iran. hosseinish20@gmail.com
Abstract:   (598 Views)
Trazodone is a weak inhibitor of serotonin reuptake and a potent antagonist of serotonin 5HT2A and 5HT2C receptors. Urinary incontinence is a rare side effect of anti-depressant drugs. Side effects of antidepressants can cause delay in treatment of patient and ultimately non-compliance in patients who take this medicinal drug. Here we present a case of trazodone induced urinary incontinence in a woman at menopause period. The patient was a retired woman with 63 years old. She reported a history of bladder prolapsuse and history of consumption of quetiapine and propranolol. But the patient had no history of other somatic illnesses, drug and urinary incontinence before administering the medicinal drug. Psychiatrist prescrided trazodone with dose of 50 mg, orally per day when appearence of the depression, anxiety and insomnia. But, the patient suddenly suffered from urinary incontinence, despite this situation the patient had continued taking the drug for three days. Due to the uncertainty of the above complications patient, was forced to discontinue the drug and follwoing drug discontinuation the side effect disappeard. After the improvement of the urine incontinence and full recovery, re-treatment was began with the same dose of 50 mg trazodone for the patient, but immediately after drug administration to the patient, urinary incontinence appeared once again. Trazodone can be considered as important factor to cause urinary incontinence. Therefore, this issue should be considered whenever this pharmaceutical drug is prescribed.
Keywords: Trazodone, Urinary incontinence, Menopause
References
1. Khawam EA, Laurencic G, Malone DA Jr. Side effects of antidepressants: an overview. Cleve Clin J Med. 2006 Apr; 73(4): 351-53.
2. Khouzam HR. A review of trazodone use in psychiatric and medical conditions. Postgrad Med. 2017 Jan; 129(1): 140-48. doi:10.1080/00325481.2017.1249265
3. Mendelson WB. A review of the evidence for the efficacy and safety of trazodone in insomnia. J Clin Psychiatry. 2005 Apr; 66(4): 469-76.
4. Votolato NA, Stern S, Caputo RM. Serotonergic antidepressants and urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000 Dec; 11(6): 386-88.
5. Avila JD. Fatal cerebral edema, seizures, and hyponatremia after Trazodone overdose. Clin Neuropharmacol. 2017 Sep/Oct; 40(5): 221-23. doi:10.1097/WNF.0000000000000235
6. Tsakiris P, Oelke M, Michel MC. Drug-induced urinary incontinence. Drugs Aging. 2008; 25(7): 541-49.
7. Arslan FC, Uysal EK, Ozkorumak E, Tiryaki A. Trazodone induced galactorrhea: a case report. Gen Hosp Psychiatry. 2015 Jul-Aug; 37(4): 373.e1-2. doi:10.1016/j.genhosppsych.2015.04.002
8. Detry O, Delwaide J, De Roover A, Hans MF, Delbouille MH, Monard J, et al. Fulminant hepatic failure induced by venlafaxine and trazodone therapy: a case report. Transplant Proc. 2009 Oct; 41(8): 3435-36. doi:10.1016/j.transproceed.2009.09.022
9. Shiotsuki I, Terao T, Ishii N, Hatano K. Auditory hallucinations induced by trazodone. BMJ Case Rep. 2014 Apr; 2014. pii: bcr2014203865. doi:10.1136/bcr-2014-203865
10. Sotto Mayor J, Pacheco AP, Esperança S, Oliveira e Silva A. Trazodone in the elderly: risk of extrapyramidal acute events. BMJ Case Rep. 2015 Jul; 2015. pii: bcr2015210726. doi:10.1136/bcr-2015-210726
11. Winkler D, Ortner R, Pjrek E, Aschauer H, Kasper S. Trazodone-induced cardiac arrhythmias: a report of two cases. Hum Psychopharmacol. 2006 Jan; 21(1): 61-62. doi:10.1002/hup.746
12. Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, et al. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981 Aug; 30(2): 239-45.
13. Sharife N, Hasanzadeh Mofrad M, Ayate S, Shakeri M, Goroneh Z. [Evaluation of expression estrogen receptor and progesterone receptor and P53 in patients with stress urinary incontinence and pelvic organ prolapse]. J Bobol Univ Med Sci. 2012; 14(1): 25-30. [Article in Persian]
14. Madhu CK, Hashim H, Enki D, Drake MJ. Risk factors and functional abnormalities associated with adult onset secondary nocturnal enuresis in women. Neurourol Urodyn. 2017 Jan; 36(1): 188-91. doi:10.1002/nau.22912
15. Lopes R, Matias J, de Melo RC. Trazodone-induced nocturnal enuresis. Psychiatry Res. 2016 Jan; 235: 211-12. doi:10.1016/j.psychres.2015.12.006
16. Mergui J, Jaworowski S. Risperidone-induced nocturnal enuresis successfully treated with reboxetine. Clin Neuropharmacol. 2016 May-Jun; 39(3): 152-53. doi:10.1097/WNF.0000000000000142
17. Dane KE, Gatewood SB, Peron EP. Antidepressant use and incident urinary incontinence: A literature review. Consult Pharm. 2016 Mar; 31(3): 151-60. doi:10.4140/TCP.n.2016.151
18. [No authors listed]. Drug-induced urinary incontinence. Prescrire Int. 2015 Jul; 24(162): 180-82.
19. Krhut J, Gärtner M. [Urinary incontinence induced by the antidepressants - case report]. Ceska Gynekol. 2015 Jan; 80(1): 65-8. [Article in Czech]
Send email to the article author


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hadinezhad P, Hosseini S H. Trazodone induced urinary incontinence in woman at menopause period: A case report. J Gorgan Univ Med Sci 2018; 20 (2) :120-123
URL: http://goums.ac.ir/journal/article-1-3363-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 20, Issue 2 (7-2018) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.1 seconds with 36 queries by YEKTAWEB 4704
Creative Commons License
This work is licensed under a Creative Commons — Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)