Reversible Fluoxetine-Induced Hyperthyroidism: A Case Report

Clin Neuropharmacol. 2016 Jan-Feb;39(1):60-1. doi: 10.1097/WNF.0000000000000116.

Abstract

Background: Selective serotonin reuptake inhibitors (SSRIs) are typically used as antidepressants. Clinically significant SSRI-induced thyroid dysfunction is rare.

Case: We report a case of hyperthyroidism induced by fluoxetine in a female patient with major depressive disorder. Her thyroid profiles indicated hyperthyroidism after a 10-week treatment with fluoxetine and were restored after discontinuation of fluoxetine and administration with venlafaxine. In the first year of follow-up, her thyroid functions as well as her depressive symptoms remained perfectly normal.

Conclusions: This case highlights the necessity of monitoring thyroid profiles during SSRI treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dysphonia / complications
  • Dysphonia / drug therapy
  • Female
  • Fluoxetine / adverse effects*
  • Headache / complications
  • Headache / drug therapy
  • Humans
  • Hyperthyroidism / chemically induced*
  • Selective Serotonin Reuptake Inhibitors / adverse effects*
  • Sleep Initiation and Maintenance Disorders / complications
  • Sleep Initiation and Maintenance Disorders / drug therapy

Substances

  • Serotonin Uptake Inhibitors
  • Fluoxetine