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Mania in a patient receiving testosterone replacement post-orchidectomy taking St Johns wort and sertraline
D. M. Barbenel
Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Hospital, London, UK
B. Yusufi
Department of Psychiatry, Charing Cross Hospital, London, UK
D. OShea
Department of Endocrinology, Charing Cross Hospital, London, UK
C. J. Bench
Department of Psychiatry, Charing Cross Hospital, London, UK
We describe the case of a patient who developed depression following bilateral orchidectomy for cryptorchidism. He was treated with a conventional selective serotonin reuptake inhibitor antidepressant, but continued to take St Johns wort (hypericum) against medical advice. He subsequently developed a manic episode. We discuss postulated modes of action of St Johns wort and the possible aetiological importance of testosterone replacement and abnormal gonadotrophin levels in this case.
Journal of Psychopharmacology, Vol. 14, No. 1,
84-86 (2000)
DOI: 10.1177/026988110001400113

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