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Maniscalco, I; Toffol, E; Giupponi, G; Conca, A.
The interaction of Rhodiola rosea and antidepressants. A case report].
Neuropsychiatr. 2015; 29(1):36-38
Doi: 10.1007/s40211-014-0124-8
(- Case Report)
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- Co-Autor*innen der Med Uni Graz
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Giupponi Giancarlo
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- Abstract:
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Rhodiola rosea (Russian Rhodiola/Golden Root) is a high mountain plant from the arctic regions of Europe and Asia which has the active substance phenylpropanoide. It has sedative, anti-depressive, drive-enhancing and stress-modulated properties stimulating the distribution of dopamine and serotonin; in combination with other drugs, an increase of side effects and risk profile has to be expected.
A case report is presented in order to illustrate the interaction between Rhodiola rosea and antidepressants.
We report the case of a 68-year-old female patient with recurrent moderate depressive disorder with somatic syndrome (ICD-10 F33.11) who developed vegetative syndrome, restlessness feeling and trembling since she began to ingest Rhodiola rosea in addition to paroxetine.
Prescribing Rhodiola rosea with paroxetine, pharmacokinetic and -dynamic interactions have to be assumed. The symptoms of the patient can be interpreted as a serotonergic syndrome. Because of its different effects, the plant is widely used. An increase of clinical relevant risks should be considered in the add-on treatments.
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Aged -
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Depressive Disorder - diagnosis Depressive Disorder - drug therapy Depressive Disorder - psychology
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Female -
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Herb-Drug Interactions -
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Humans -
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Paroxetine - adverse effects Paroxetine - therapeutic use
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Phytotherapy -
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Plant Extracts - adverse effects Plant Extracts - therapeutic use
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Rhodiola -
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Self Medication -
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Serotonin Syndrome - chemically induced Serotonin Syndrome - diagnosis Serotonin Syndrome - psychology
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Somatoform Disorders - diagnosis Somatoform Disorders - drug therapy Somatoform Disorders - psychology
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Rhodiola rosea
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Russian Rhodiola
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Depressive episode
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Paroxetine
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Drug-drug interaction
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Serotonergic syndrom