A CASE STUDY ON SEVERE SUBSTANCE INDUCED PSYCHOSIS WITH DIABETES MELLITUS OBSERVED IN TERTIARY CARE HOSPITAL

Swarna Priya B.*, Heeba Begum J. and Aravind Raj J.

ABSTRACT

Background: Substance Induced Psychosis is a serious addictive condition developed from Substance use disorder characterized by addiction and abuse of CNS suppressant drugs (sedative, hypnotics, cannabis, opioid analgesics). The condition becomes worse in addition to uncontrolled diabetes and its associated secondary complications. Case Presentation: The current article deals with a 43-year-old male patient reporting with 17 years of smoking, 12 years of drug abuse and 10 years of uncontrolled diabetes mellitus. The patient had complaints of assaultive behavior, sleep disorder and frequent anger outburst. The patient was treated with Injection Haloperidol 5mg/mL + Injection Lorazepam 4mg/mL, Tablet Lorazepam 2mg, Tablet Trihexyphenidyl 2mg, Injection Thiamine 100mg, Tablet Diazepam 5mg, Tablet Chlorpromazine 25mg, Tablet Sodium Valproate 200mg. The patient was further counseled on discharge to improve his quality of life. Conclusion: Diabetes with Psychosis is a very sensitive yet challenging association of diseases and may result in long term complications if under-diagnosed and not treated properly with care. They actively play a role in monitoring the patient closely and reporting ADR and drug interactions in time to avoid diverse complications. Therefore, clinical pharmacy services are highly recommended to hand out as a bridge in ample levels of Health care.

Keywords: Substance Induced Psychosis, Addiction, Uncontrolled diabetes, Clinical Pharmacist, Health care.