Dec. 28, 2023 – Methadone withdrawal usually presents as a classical opiate withdrawal syndrome, including symptoms such as restlessness, pupillary dilation, sweating, insomnia, irritability, sneezing, nausea, vomiting, and diarrhea. It rarely manifests as psychosis. Here, we discuss the case of a 43-year-old female with a history of long-term methadone use who presented with first-episode psychosis during methadone down-titration. She exhibited persecutory delusions and auditory hallucinations, unrelated to classical opiate withdrawal symptoms. Medical tests were unremarkable. The patient was diagnosed with first-episode psychosis and was involuntarily admitted to our psychiatric hospital. As she suffered from hormone-dependent breast cancer and presented paliperidone-induced hyperprolactinemia, we switched this drug to aripiprazole, a prolactin-sparing antipsychotic. Her psychotic symptoms remitted in six weeks, with no reintroduction of methadone.
AUDIO – A STAR IS REBORN – May 7, 2024 - “You’re not alone,”…
MEASLY AMOUNT – May 3, 2024 - Amneal Pharmaceuticals reached an agreement to pay…
VIDEO – THE ANGEL WEARS NADA – Mar. 26, 2024 - “I knew deep…
HIGHER POWER BARK – April 29, 2024 - An Arizona-based nonprofit has reached the…
VIDEO ONLY – ONE WILL GET YOU TEN – May, 2024 - Actor, Tom…
VIDEO – GOOD MORNING - NOT – May 2, 2024 - A Kentucky boy…