Skip to content

Case report, 1999

Can the antidepressant nefazodone trigger mania in someone with undiagnosed bipolar disorder?

In this one reported case, a patient likely developed mania after starting nefazodone, suggesting the drug may be able to trigger mania, but a single case cannot prove this happens generally.

Early or limited evidence One patient treated with the antidepressant nefazodone

What they did

This was a report describing a single patient who developed symptoms of mania while being treated with the antidepressant nefazodone, and who had not previously been diagnosed with bipolar disorder. The report also discussed ideas about how this might have happened.

What they found

The patient's mania was judged to be probably caused by the nefazodone treatment. The report notes that only one other case of mania linked to this drug had been published before this one.

What it means for you

Because this is based on a single patient with no comparison group, it cannot prove that nefazodone generally causes mania. It may still be useful as a warning for doctors to watch for mania, especially in people who might have unrecognized bipolar disorder.

1

previously published similar case

About the study

Original title
Micronized progesterone: a new option for women's health care
Authors
Wetzel W
Journal
The Nurse practitioner
Year
1999
Study design
Case report
What was tested
The antidepressant nefazodone

Topics