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The role of methylphenidate in the treatment of catatonia

  • Edith SciberrasEmail author
  • Joseph Cassar
Letter to the Editor
  • 24 Downloads

To the Editor,

Catatonia is a neuropsychiatric syndrome characterised by alterations in motor behaviour, vigilance, thought and mood. Benzodiazepines and electroconvulsive therapy (ECT) are currently the recommended forms of treatment for symptoms of catatonia (Fink and Taylor 2003). There is some data on the use of stimulant medication in the treatment of depressive symptoms, but there is limited data supporting treatment of catatonia with stimulant medication alone or as an adjunct medication.

We are going to present a case of a 60-year-old lady who was admitted to Emergency Department after being found unconscious on the floor at her house by a relative. At the Emergency Department, she became increasingly obtunded and unresponsive, first to verbal then to painful stimuli. She was afebrile and had stable vital signs. Physical examinations, including lung, cardiac, genitourinary and rectal, were normal. Chest X-ray film, blood counts and chemistry values were normal. Computed...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Fink M, Taylor M (2003) Catatonia. Cambridge University Press, CambridgeCrossRefGoogle Scholar
  2. Hardy S (2009) Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults. Am J Geriatr Pharmacother 7(1):34–59CrossRefGoogle Scholar
  3. Lavretsky H, Park S, Siddarth P, Kumar A, Reynolds C (2006) Methylphenidate-enhanced antidepressant response to citalopram in the elderly: a double-blind, placebo-controlled pilot trial. Am J Geriatr Psychiatry 14(2):181–185CrossRefGoogle Scholar
  4. Prowler M, Weiss D, Caroff S (2010) Treatment of catatonia with methylphenidate in an elderly patient with depression. Psychosomatics 51(1):74–76.  https://doi.org/10.1016/s0033-3182(10)70662-9 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Mater Dei HospitalMsidaMalta
  2. 2.Mount Carmel HospitalAttardMalta

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