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Case Report
Online Published: 29 Jun 2012
 


Trihexyphenidyl triggered hypomania in a bipolar patient

Eren Yıldızhan, Serap Batmaz, Nazan Karagöz Sakallı, Erhan Kurt.


Abstract
We observed a case of tardive dyskinesia after regular use of low dose chlorpromazine. An anticholinergic agent; trihexyphenidyl (THX) was used to treat the tardive dyskinesia. Treatment response was satisfactory, but brief hypomanic episodes occured. Because the patient was symptom free for long periods of time, we suspected that THX may have a negative effect on the course of the disease or it may have induced hypomania. These episodes were controled with short term use of olanzapine. When the dose of THX was further increased, we determined elevation of mood. History of bipolar disorder in his family and having the early onset type of bipolar disorder were features of our case making the tardive movement disorder more likely. Although THX may be an effective option in tardive dyskinesia, change in the course of the disease in bipolar patients may be a possibility.

Key words: trihexyphenidyl, hypomania, tardive dyskinesia


 
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How to Cite this Article
Pubmed Style

Yıldızhan E, Batmaz S, Sakallı NK, Kurt E. Trihexyphenidyl triggered hypomania in a bipolar patient. PBS. 2012; 2(2): 77-79. doi:10.5455/jmood.20120406022709

Web Style

Yıldızhan E, Batmaz S, Sakallı NK, Kurt E. Trihexyphenidyl triggered hypomania in a bipolar patient. https://www.pbsciences.org/?mno=8716 [Access: November 10, 2025]. doi:10.5455/jmood.20120406022709

AMA (American Medical Association) Style

Yıldızhan E, Batmaz S, Sakallı NK, Kurt E. Trihexyphenidyl triggered hypomania in a bipolar patient. PBS. 2012; 2(2): 77-79. doi:10.5455/jmood.20120406022709


Vancouver/ICMJE Style

Yıldızhan E, Batmaz S, Sakallı NK, Kurt E. Trihexyphenidyl triggered hypomania in a bipolar patient. PBS. (2012), [cited November 10, 2025]; 2(2): 77-79. doi:10.5455/jmood.20120406022709


Harvard Style

Yıldızhan, E., Batmaz, . S., Sakallı, . N. K. & Kurt, . E. (2012) Trihexyphenidyl triggered hypomania in a bipolar patient. PBS, 2 (2), 77-79. doi:10.5455/jmood.20120406022709


Turabian Style

Yıldızhan, Eren, Serap Batmaz, Nazan Karagoz Sakallı, and Erhan Kurt. 2012. Trihexyphenidyl triggered hypomania in a bipolar patient. Psychiatry and Behavioral Sciences, 2 (2), 77-79. doi:10.5455/jmood.20120406022709


Chicago Style

Yıldızhan, Eren, Serap Batmaz, Nazan Karagoz Sakallı, and Erhan Kurt. "Trihexyphenidyl triggered hypomania in a bipolar patient." Psychiatry and Behavioral Sciences 2 (2012), 77-79. doi:10.5455/jmood.20120406022709


MLA (The Modern Language Association) Style

Yıldızhan, Eren, Serap Batmaz, Nazan Karagoz Sakallı, and Erhan Kurt. "Trihexyphenidyl triggered hypomania in a bipolar patient." Psychiatry and Behavioral Sciences 2.2 (2012), 77-79. Print. doi:10.5455/jmood.20120406022709


APA (American Psychological Association) Style

Yıldızhan, E., Batmaz, . S., Sakallı, . N. K. & Kurt, . E. (2012) Trihexyphenidyl triggered hypomania in a bipolar patient. Psychiatry and Behavioral Sciences, 2 (2), 77-79. doi:10.5455/jmood.20120406022709


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