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Antidepressant-induced bruxism
successfully treated with gabapentin.
Brown ES,
Hong SC.
Department of Psychiatry, University of Texas
Southwestern Medical Center, Dallas 75235-9101, USA.
BACKGROUND:
Symptoms consistent with bruxism are a common chief complaint in dental
practice. The authors describe a case of bruxism likely induced by the
antidepressant venlafaxine and successfully treated with gabapentin.
CASE DESCRIPTION: A case of bruxism, anxiety, insomnia and tremor is
reported in a man with bipolar disorder that developed a few days after
he initiated venlafaxine therapy for depression. The patient's
psychiatrist prescribed gabapentin for anxiety symptoms, and shortly
thereafter the man experienced a complete resolution of the bruxism.
CLINICAL IMPLICATIONS: On the basis of this case and the available
literature, the authors conclude that bruxism secondary to
antidepressant therapy may be common. Thus, dentists should inquire
about the use of these medications in patients who have bruxism.
Gabapentin may offer promise in the treatment of this
condition.
Publication Types:
PMID: 10570590 [PubMed - indexed for
MEDLINE]
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