A patient with coexisting narcolepsy and morbid jealousy showing favourable response to fluoxetine.

Wing, Y K; Lee, S; Chiu, H F; Ho, C K; Chen, C N · Postgrad Med J · 1994

case_report · Level V

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Abstract

A 37 year old Chinese man suffered from coexisting narcolepsy and morbid jealousy which were precipitated by head injury 5 years previously. Fluoxetine 20 mg/day reduced his narcoleptic symptoms and morbid jealousy but not his sleepiness. On defaulting treatment, the patient's symptoms and marital problem recurred. A common central serotonin disturbance might be involved in mediating the sleep disorder and associated psychopathology.

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