Sarı kantaronun (Hypericum perforatum) neden olduğu psikotik atak: Olgu sunumu

Abstract

Son yıllarda doğal ürünlere ilginin giderek artması ile bitkisel tedavilerin kullanımı tüm dünyada giderek yaygınlaşmaktadır. Bitkisel tedaviler içerisinde psikiyatrik bozuklukların tedavisi amacıyla sıklıkla kullanılanlar arasında, sarı kantaron olarak da bilinen Hypericum perforatum da yer almaktadır. Sarı kantaron, başta hafif ve orta şiddetteki depresyon olmak üzere, uykusuzluk ve kaygı gibi belirtilerin tedavisinde kullanılmaktadır. Etki mekanizması tam olarak aydınlatılmamış olmasına rağmen aktif bileşenlerinin antidepresan etkiye sahip olduğu düşünülmektedir. Yazımızda, 47 yaşında, daha önce psikoz öyküsü olmayan ve sarı kantaron kullanımı sonrası psikotik hecme geçirdikten sonra antipsikotikle başarılı şeklide tedavi edilen bir kadın hasta sunulmuştur.

Keywords

• sarı kantaron, psikotik atak, bitkisel tedavi

Psychotic episode induced by St. John’s wort (Hypericum perforatum): a case report

Abstract

There is an increase in the use of herbal therapies in recent years. St. John’s Wort (SJW), which is also named as Hypericum perforatum, is one of the most frequently used herbal agents in the treatment of psychiatric disorders. SJW has been shown to be efficacious in treating mild to moderate depression, insomnia, and anxiety disorders. Although exact mechanism of action is not completely understood, its active components are suggested to have antidepressant properties. Despite its beneficial therapeutic effects, SJW can also cause unexpected adverse effects. Herein, we present the case of a 47-year-old, previously healthy female who developed psychosis after taking SJW extract and successfully treated with antipsychotic therapy.

Keywords

• herbal therapy, psychosis, St. John’s wort

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