Problem Gambling Associated With Aripiprazole in First-Episode Psychosis Patients: A Series of 6 Case Reports.

Journal of Clinical Psychopharmacology
Olivier CorbeilMarc-André Roy

Abstract

Aripiprazole (ARI), an antipsychotic drug used to treat various mental health disorders, has recently been associated with the emergence of problem gambling (PBG). However, few cases have been reported in the schizophrenia-related psychotic disorders population, and even fewer provided sufficient details to systematically assess the causality of the association. This article describes 6 cases with first-episode psychosis in whom PBG emerged while on ARI. Detailed information was gathered from clinical staff and patients' families to systematically assess the causal link between ARI and the emergence of PBG using the Naranjo and Liverpool Adverse Drug Reaction scales. Five of these cases were previously diagnosed with a substance use disorder and/or cluster B personality traits. Five had received a more potent dopaminergic antagonist treatment before being switched to ARI. Two of them had presented PBG before being diagnosed with a psychotic disorder. The level of certainty about the causal role of ARI varied from possible to certain, and in 4 cases, the 2 scales yielded different ratings. Although these cases suggest that ARI may be associated with the emergence of PBG in the early course of schizophrenia-related psychotic diso...Continue Reading

References

Aug 1, 1981·Clinical Pharmacology and Therapeutics·C A NaranjoD J Greenblatt
Dec 22, 2007·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Taofikat B AgbabiakaEdzard Ernst
Mar 13, 2012·Journal of Affective Disorders·Amal Abdel-BakiAshok Malla
Dec 10, 2013·Addictive Behaviors·L GaboriauM Grall-Bronnec
Feb 17, 2015·Comprehensive Psychiatry·Maria HaydockDavid Castle
Mar 5, 2015·The Australian and New Zealand Journal of Psychiatry·Nicki A DowlingDarren R Christensen
Feb 10, 2017·International Clinical Psychopharmacology·Taishiro KishimotoJohn M Kane
Jun 18, 2019·Journal of Clinical Psychopharmacology·Alexandre LachanceMarie-France Demers

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Citations

Feb 28, 2021·Journal of Psychiatric Research·Roser GraneroSusana Jiménez-Murcia

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