The treatment of kleptomania
with serotonin reuptake inhibitors
by
Lepkifker E, Dannon PN,
Ziv R, Iancu I, Horesh N, Kotler M
Department of Psychiatry B,
Chaim Sheba Medical Center,
Tel HaShomer, Israel.
Clin Neuropharmacol 1999 Jan-Feb; 22(1):40-3
ABSTRACT
Kleptomania is characterized by an irresistible impulse to steal objects not
needed for personal use or for their monetary value. Several recent case reports
have shown that Serotonin Specific Reuptake Inhibitors (SSRIs) could be
effective in the treatment of kleptomania just as it is in other
obsessive-compulsive spectrum disorders. We report five cases of kleptomania
patients who were successfully treated with fluoxetine or paroxetine in
combination with a psychotherapeutic intervention. In one case, the
discontinuation of the medication repeatedly led to the resurgence of the
kleptomanic behavior. Our case series illustrates the effectiveness of SSRIs in
kleptomania. It thus supports the assumption that this syndrome involves a
dysfunctional serotoninergic mechanism.
OCD
SSRIs
Options
Serotonin
Fluoxetine
Paroxetine
Compulsive disorders
Topiramate (Topomax)
Topiromate for kleptomania
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