Equilibrium Research
Online ISSN : 1882-577X
Print ISSN : 0385-5716
ISSN-L : 0385-5716
Panel discussion:Depression and dizziness/vertigo: key points of diagnosis and treatment
Dizziness and Depression- Psychotropic drugs and SSRI
Kensuke Kiyomizu
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JOURNAL FREE ACCESS

2014 Volume 73 Issue 4 Pages 235-245

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Abstract
 Patients with depression often complain of somatic symptoms like dizziness. It is very difficult to treat patients suffering from severe dizziness and depression with only anti-vertiginous-drugs. Therefore, using psychotropic drugs is one method to treat this type of patient. However, we believe that psychotropic drugs should be prescribed according to advice from psychiatrists or doctors who are familiar with these drugs, because benzodiazepine drugs can cause drug-dependence, anti-depressants exacerbate the condition in patients with irritability and psychiatric patients are at some risk of suicide. Physicians (non-expert psychiatrists) need to be careful when treating patients with depression when they prescribe psychotropic drugs, because these patients may become drug-dependent, more irritable and be at some risk of suicide. To reduce the risk of these incidents, physicians are strongly encouraged to consider introducing these patients with psychiatric disorders to psychiatrists. Recently, serotonin selective re-uptake inhibitors (SSRI), another kind of anti-depressant, have been prescribed more frequently by physicians. Our 33-year-old female case with severe dizziness and depression could be completely treated using SSRI. Using SSRI carefully can improve the mental condition and the quality of life (QOL) of patients who are suffering from severe dizziness and depression.
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© 2014 Japan Society for Equilibrium Research
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