수면정신생리

수면정신생리 (10권2호 113-115)

Antidepressant-Induced Somnambulism：A Case of Mirtazapine

항우울제와 몽유병：Mirtazapine에 의한 증례 1례

Chung, Sang-Keun;Oh, Keun-Young;Cho, Kwang-Hyun;Hwang, Ik-Keun;

Department of Psychiatry, Chonbuk National University Medical School;Department of Psychiatry, Chonbuk National University Medical School;Department of Psychiatry, Chonbuk National University Medical School;Department of Psychiatry, Chonbuk National University Medical School;

Abstract

Somnambulism is classified as a parasomnia and has been reported with the use of antidepressants and other psychotropics. However, to our knowledge, there have been no reports of somnambulism associated with the use of mirtazapine (a noradrenergic and specific serotonergic antidepressant；NaSSA). We experienced a case of the mirtazapine (30 mg/day)- induced somnambulism in a 65 year-old woman with major depressive disorder who has never been diagnosed as panic disorder, somnambulism, other parasomnias, neurological disorders (including epilepsy), and other medical diseases. The sleepwalking symptoms disappeared after the antidepressant was replaced with paroxetine (20 mg/day).

Keywords

Mirtazapine;Somnambulism;