Mirtazapine for Treatment of Drug-Resistant Pathological Skin Picking

Mirtazapine用於治療難治型病態性搔抓症

郭柏顯(Bor-Shien Kuo) ； 唐嘉宏(Chia-Hung Tang) ； 王姿云(Tzu-Yun Wang) ； 王秀美(Carol Sheei-Meei Wang) ； 葉紅村(Hong-Chen Yeh)

《台灣精神醫學》 26卷3期 (2012/09) Pp. 221-225

https://doi.org/10.29478/TJP.201209.0009

並列摘要

Objective: Pathological skin-picking (PSP) is a common disorder, and some pharmocotherapies for PSP have been reported. But the appropriate treatment is limited. We are reporting the use of mirtazapine to successfully treat a refractory PSP case. Case Report: This 42-year-old woman patient with mental retardation had suffered from treatment-refractory PSP for at least ten years. She had received behavioral therapies and various pharmacologic agents, including several kinds of antidepressants, topiramate, and lamotrigene. But she had got only minimal improvement. After receiving mirtazapine 30 mg/day for one week, the patient's PSP was dramatically improved. Conclusion: Mirtazapine showed to have improved PSP in this patient. More well-designed studies are needed to definitely prove the effect and neurobiologic actions of mirtazapine in PSP.

並列關鍵字

mirtazapine ； pathological skin-picking ； impulsivity

參考文獻

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