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No-Sweat Antidepressant Therapy?
I have a patient who has taken escitalopram for a number of years, and he complains of increased sweating, particularly during the summer. Are SSRIs associated with hyperhidrosis? Would it be worthwhile to switch to a different SSRI?
I have a patient who has taken escitalopram for a number of years, and he complains of increased sweating, particularly during the summer. Are SSRIs associated with hyperhidrosis? Would it be worthwhile to switch to a different SSRI?
----- Donna Jackson, MSN, APRN
Cornwall, NY
Between 10% and 20% of patients who take SSRIs may experience troubling hyperhidrosis.1 I am unaware that any particular SSRI is more likely than others to produce this effect. Benztropine mesylate taken in conjunction with the SSRI may ameliorate the excessive sweating.
----- Lewis P. Stolman, MD
Associate Clinical Professor of Pediatrics and Dermatology
New Jersey Medical School
University of Medicine and Dentistry of New Jersey
Newark
References:
REFERENCE:
1.
International Hyperhidrosis Society. Sweat and anti-depressants: what you need to know. Available at:
http://www.sweathelp.org/English/CMN_Article.asp?ArticleCode=81572853&EditionCode=87373635
. Accessed March 26, 2008.
Podcast: Arthritis, Anxiety, and Depression: Managing a Common Comorbidity
May 14th 2012Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.
