TABLE 1.
Case report citation | Case | Psychiatric disorders | PGB maximum dosage | PGB duration | Discontinuation or taper period | Onset of symptoms after discontinuation of PGB | Withdrawal symptoms | ||
---|---|---|---|---|---|---|---|---|---|
Psychopathologic symptoms | Vegetative symptoms | Neurologic and physical complications | |||||||
Uçar 20208 | 30 F | None | 150 mg/d | 45 days | Discontinuation | 48 hours | Insomnia, dysphoria, delusions, visual hallucinations, and the idea of harm | ND | ND |
Naveed 20189 | 62 F | GAD and DD | 450 mg/d | ND | ND | ND | Anxiety, fear, insomnia, suicidal ideations, and feeling of going crazy. | Tremors, dyspnea, palpitations, and dizziness. | Chest pain, extreme weakness of legs, and aches. |
Du 201710 | 52 F | None | 150 mg/d | Many years | Discontinuation | 4 days | ND | ND | Tonic‐clonic seizure |
Driot 201611 | 24 F | GAD, DD, PD, and anorexia | 300 mg/d | A few weeks | No tapering or discontinuation | ND | Asthenia, insomnia, and suicidal ideas | Tremors, sweating | ND |
Gahr 201312 | 38 F | PD and DD | 600 mg/d | 2 months | 25 mg/d | 10 days | Psychomotor agitation and craving | Hypertension, tachycardia, and tremor | ND |
Oaklander 200513 | 80 F | None | 375 mg/d | 49 weeks | 0 | 30 hours | Visual and auditory hallucinations, alexia, distorted color perception, delirium, terror | ND | Nausea, headache, “imbalance,” |
Case 1 | 39 M | None | 600 mg/d | 2 months | 0 | 2 days | Insomnia, anxiety, and restlessness | Palpitations | difficulty in breathing, and loss of appetite |
Case 2 | 74 F | None | 150 mg/d | 10 years | 0 | 7 days | Insomnia, depressed mood, anxiety, restlessness, suicidal ideation, and psychological discomfort | Tremor, cold sweats, lacrimation | Physical discomfort, headache, appetite loss, dyspnea, and epigastric discomfort |
Case 3 | 69 M | None | 600 mg/d | 19 years | 0 | 1 day | Insomnia and depressed mood | None | Chest tightness, suffocation, chills, and loss of appetite |
Abbreviations: DD, depressive disorder; GAD, generalized anxiety disorder; ND, not described; PD, personality disorder; PGB, pregabalin.