Treatment of Psychogenic Polydipsia With Acetazolamide: A Report of 5 Cases

被引:5
|
作者
Takagi, Shunsuke [1 ]
Watanabe, Yutaka [1 ]
Imaoka, Takefumi [1 ]
Sakata, Masuhiro [1 ]
Watanabe, Masako [1 ]
机构
[1] Natl Ctr Neurol & Psychiat, Dept Psychiat, Kodaira, Tokyo 1878553, Japan
关键词
psychogenic polydipsia; schizophrenia; acetazolamide; water intoxication; hyponatremia; INDUCED WATER-INTOXICATION; SCHIZOPHRENIC-PATIENTS; HYPONATREMIA SYNDROME; PSYCHIATRIC-PATIENTS; DRINKING BEHAVIOR; CAPTOPRIL; CLOZAPINE; RISPERIDONE; PSYCHOSIS;
D O I
10.1097/WNF.0b013e318205070b
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: Psychogenic polydipsia occurs frequently in patients with chronic psychiatric illness and is often unmanageable. We herein report 5 patients in whom acetazolamide was trialed for this symptom. Methods: We encountered a case in which polydipsia improved with incidental administration of acetazolamide. We then used this treatment for 4 additional cases of treatment-resistant psychogenic polydipsia, some of which were accompanied by hyponatremia. Results: Acetazolamide improved polydipsia and/or hyponatremia in 4 of the 5 cases. This treatment was well tolerated and allowed 3 of the patients to permanently leave isolation. Conclusion: Acetazolamide appears to have a beneficial effect in psychogenic polydipsia.
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页码:5 / 7
页数:3
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