CASE CONTINUED
Mrs. C is admitted to the inpatient psychiatric unit and started on risperidone, 1 mg twice daily. Initially, she complains of lightheadedness at night due to the risperidone, so her dose is changed to 2 mg at bedtime. Gradually, she begins to show mild improvement. Previously, she reported feeling frightened of staff members, but after a few days she reports that she feels safe at the hospital. However, her delusions of being monitored by the FBI persist.
After 9 days of hospitalization, Mrs. C is discharged home to the care of her daughter. At first, she does well, but unfortunately she begins to refuse to take her medication and returns to her baseline.
Related Resources
- Gok F, Eroglu MZ. Acute psychotic disorder associated with immunosuppressive agent use after renal transplantation: a case report. Psychiatry and Clinical Psychopharmacology. 2017;3:314-316.
- Bersani G, Marino P, Valerani G, et al. Manic-like psychosis associated with elevated trough tacrolimus blood concentrations 17 years after kidney transplant. Case Rep Psychiatry. 2013;2013:926395. doi: 10.1155/2013/926395
Drug Brand Names
Amlodipine • Norvasc
Aripiprazole • Abilify
Atorvastatin • Lipitor
Benztropine • Cogentin
Cinacalcet • Sensipar
Cyclosporine • Gengraf
Haloperidol • Haldol
Ketamine • Ketalar
Levothyroxine • Synthroid
Metformin • Glucophage
Mycophenolate mofetil • CellCept
Olanzapine • Zyprexa
Quetiapine • Seroquel
Paliperidone • Invega
Risperidone • Risperdal
Tacrolimus • Prograf