OLGU SUNUMLARI
Fibromiyalji Sendromlu Bir Hastada Duloksetine Bağlı Huzursuz Bacak Sendromu
Duloxetine-induced Restless Legs Syndrome in a Patient with Fibromyalgia Syndrome
Received Date : 22 Sep 2020
Accepted Date : 09 Dec 2020
Available Online : 05 May 2021
Cevriye MÜLKOĞLUa, Hakan GENÇa
aDepartment of Physical Medicine and Rehabilitation, University of Health Sciences Ankara Training and Research Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2020-79096 - Makale Dili: EN
J PMR Sci. 2021;24(2):183-5
ÖZET
Huzursuz bacak sendromu (HBS), dinlenme ve uyku ile kötüleşen
ve ekstremiteleri hareket ettirmekle rahatlayan nahoş hislerle karakterize
nörolojik bir uyku bozukluğudur. Burada fibromiyalji
sendromu tanısı alan 47 yaşında bir kadın hastaya, 30 mg duloksetin
verildi. Duloksetine başladıktan 4 hafta sonra, alt ekstremitelerinde rahatsızlık
hissi ortaya çıktı. Duloksetin dozu düşürüldükten sonra semptomları
1 hafta içinde kademeli olarak hafifledi. Yeni nesil
antidepresanlara bağlı HBS nadirdir ve literatürde, birkaç olgu sunumu
ile sınırlıdır. Bildiğimiz kadarıyla bu olgu sunumu, fibromiyalji sendromunun
tedavisi sırasında duloksetinin neden olduğu HBS semptomlarının
ilk raporudur.
Anahtar Kelimeler: Huzursuz bacak sendromu; duloksetin; antidepresanlar; fibromiyalji sendromu
ABSTRACT
Restless legs syndrome (RLS) is a neurological sleep
disorder characterized by unpleasant sensations that worsen with resting
and sleep, and relieving with moving the limbs. Herein we report
a 47 year-old woman diagnosed with fibromyalgia syndrome and the
dose of 30 mg duloxetine was administered to her. Four weeks later
from starting duloxetine, uncomfortable sensations appeared in her
lower limbs. After the dose of duloxetine had been decreased, her
symptoms were alleviated gradually within one week. RLS due to
new generation antidepressants is rare and limited with a few case reports
in the literature. To the best of our knowledge, this case report
is the first report of RLS symptoms induced by duloxetine during
treatment of fibromyalgia syndrome.
Keywords: Restless legs syndrome; duloxetine; antidepressants; fibromyalgia syndrome
REFERENCES
- Chahine LM, Chemali ZN. Restless legs syndrome: a review. CNS Spectr. 2006;11:511-20. [Crossref] [PubMed]
- Allen RP, Picchietti DL, Garcia-Borreguero D, et al; International Restless Legs Syndrome Study Group. Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria--history, rationale, description, and significance. Sleep Med. 2014;15:860-73. [Crossref] [PubMed]
- Allen RP, Bharmal M, Calloway M. Prevalence and disease burden of primary restless legs syndrome: results of a general population survey in the United States. Mov Disord. 2011;26:114-20. [Crossref] [PubMed]
- Patatanian E, Claborn MK. Drug-induced restless legs syndrome. Ann Pharmacother. 2018;52:662-72. [Crossref] [PubMed]
- Allen RP, Barker PB, Wehrl FW, et al. MRI measurement of brain iron in patients with restless legs syndrome. Neurology. 2001;56:263-5. Erratum in: Neurology. 2015;84:105. [Crossref] [PubMed]
- Allen RP, Earley CJ. Restless legs syndrome: a review of clinical and pathophysiologic features. J Clin Neurophysiol. 2001;18:128-47. [Crossref] [PubMed]
- Klingelhoefer L, Bhattacharya K, Reichmann H. Restless legs syndrome. Clin Med (Lond). 2016;16:379-82. [Crossref] [PubMed] [PMC]
- Lin XW, Zhang JF, Qiu MY, et al. Restless legs syndrome in end stage renal disease patients undergoing hemodialysis. BMC Neurol. 2019;19:47. [Crossref] [PubMed] [PMC]
- Kolla BP, Mansukhani MP, Bostwick JM. The influence of antidepressants on restless legs syndrome and periodic limb movements: a systematic review. Sleep Med Rev. 2018;38:131-40. [Crossref] [PubMed]
- Nikolaou KN, Michopoulos I, Douzenis A, et al. Restless legs syndrome associated with the combined use of duloxetine plus paroxetine. J Clin Psychopharmacol. 2015;35:345-6. [Crossref] [PubMed]
- Belli H, Akbudak M, Ural C. Duloxetine-related galactorrhea and restless legs syndrome: a case report. Psychiatr Danub. 2013;25:266-7. [PubMed]
- Rottach KG, Schaner BM, Kirch MH, et al. Restless legs syndrome as side effect of second generation antidepressants. J Psychiatr Res. 2008;43:70-5. [Crossref] [PubMed]
- Härmark L, van Puijenbroek E, van Grootheest K. Intensive monitoring of duloxetine: results of a web-based intensive monitoring study. Eur J Clin Pharmacol. 2013;69:209-15. [Crossref] [PubMed] [PMC]