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Deterioration in renal function following commencement of citalopram

Published online by Cambridge University Press:  13 June 2014

Neil Mayfield
Affiliation:
Royal Edinburgh Hospital, Edinburgh
Kay Anderson
Affiliation:
Royal Victoria Hospital, Edinburgh
Colin Rodger
Affiliation:
Herdmanflat Hospital, Haddington, East Lothian, England

Abstract

We report the case of an 85 year old woman, admitted to hospital with a two month history of a depressive illness. Within one week of commencing treatment with citalopram 20mg daily, she had developed a widespread rash, bilateral ankle oedema and a range of biochemical and haematological abnormalities, including marked elevations of plasma urea and creatinine and increased neutrophil and eosinophil counts. Following withdrawal of citalopram, her physical state returned to normal within two weeks. The episode is suggestive of acute interstitial nephritis triggered by citalopram, a phenomenon not previously reported in association with the selective serotonin reuptake inhibitors.

Type
Case report
Copyright
Copyright © Cambridge University Press 2000

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References

1.Toto, RD. Acute tubulointerstitial nephritis. Am J Med Sci 1990; 299: 392410.CrossRefGoogle ScholarPubMed
2.Elias, TJ, Bannister, KM, Clarkson, AR, Faull, D, Faull, RJ. Clozapine-induced acute interstitial nephritis. Lancet 1999; 354: 11801181.CrossRefGoogle ScholarPubMed
3.Greenberg, A. Diuretic complications. Am J Med Sci 2000; 319: 1024.CrossRefGoogle ScholarPubMed
4.Stockley, IH. Drug Interactions. London: Pharmaceutical Press 1999.Google Scholar
5.Joyce, PR, Hawes, CR, Mulder, RT, Sellman, JD, Wilson, DA, Boswell, DR. Elevated levels of acute phase plasma proteins in major depression. Biol Psychiatry 1992; 32: 10351041.CrossRefGoogle ScholarPubMed