
Past Issues
Psychosis Associated with Ephedra-containing Cough Syrup
Mao-Hsiu Hua, Yi-Hang Chiu, Winston W. Shen
A 43-year-old male patient was hospitalized
with complaints of manic and psychotic symp-toms. He had no history of systemic diseases and
brain injury. He had two previous psychiatric vis-its, suspecting substance-induced disorder. His
family stated his mental condition had been nor-mal without taking any medication in recent five
years. This time, he presented himself with manic symptoms of decreased need of sleep, increased
sexual drive, and hazardous driving five days be-fore he was hospitalized. He subsequently devel-oped
psychotic symptoms as persecutory delu-sion, delusion of being possessed, and visual
hallucinations. At the emergency department, his mental status examination showed elated mood,
labile affect, and loosed associations. He denied illegal substance use, and his urine drug screen
was negative in finding. After admission, he re-ceived olanzapine 15 mg daily and his symptoms
were resolved one week afterwards.
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