Urinary retention triggered by dimenhydrinate: A case report

The antihistamine dimenhydrinate as the trigger of acute urinary retention has not been reported. A 35-year-old female with a long-term history of depression treated with sertraline (150 mg/d) since years developed acute urinary retention after having received 100 mg dimenhydrinate intravenously for...

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Main Author: Josef Finsterer
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-03-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1338_22
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author Josef Finsterer
author_facet Josef Finsterer
author_sort Josef Finsterer
collection DOAJ
description The antihistamine dimenhydrinate as the trigger of acute urinary retention has not been reported. A 35-year-old female with a long-term history of depression treated with sertraline (150 mg/d) since years developed acute urinary retention after having received 100 mg dimenhydrinate intravenously for excessive, postural vertigo. Urinary retention required placement of a disposable catheter, which halted 1.6 liter of urine. Since urinary retention persisted, she received a permanent catheter, which initially halted another 1.2 liter of urine. Urinary retention resolved spontaneously within 48 hours, and the patient was discharged with her previous medication. This case shows that intravenous dimenhydrinate can trigger the development of acute urinary retention in patients under long-term treatment with sertraline, which is why it should be given with caution in this group of patients.
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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-a121f7cce42a4572b83424775cfc1d642024-11-11T11:07:23ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-03-0112357657710.4103/jfmpc.jfmpc_1338_22Urinary retention triggered by dimenhydrinate: A case reportJosef FinstererThe antihistamine dimenhydrinate as the trigger of acute urinary retention has not been reported. A 35-year-old female with a long-term history of depression treated with sertraline (150 mg/d) since years developed acute urinary retention after having received 100 mg dimenhydrinate intravenously for excessive, postural vertigo. Urinary retention required placement of a disposable catheter, which halted 1.6 liter of urine. Since urinary retention persisted, she received a permanent catheter, which initially halted another 1.2 liter of urine. Urinary retention resolved spontaneously within 48 hours, and the patient was discharged with her previous medication. This case shows that intravenous dimenhydrinate can trigger the development of acute urinary retention in patients under long-term treatment with sertraline, which is why it should be given with caution in this group of patients.https://journals.lww.com/10.4103/jfmpc.jfmpc_1338_22adverse reactiondimenhydrinatehesitancysertralineside effecturinary retention
spellingShingle Josef Finsterer
Urinary retention triggered by dimenhydrinate: A case report
Journal of Family Medicine and Primary Care
adverse reaction
dimenhydrinate
hesitancy
sertraline
side effect
urinary retention
title Urinary retention triggered by dimenhydrinate: A case report
title_full Urinary retention triggered by dimenhydrinate: A case report
title_fullStr Urinary retention triggered by dimenhydrinate: A case report
title_full_unstemmed Urinary retention triggered by dimenhydrinate: A case report
title_short Urinary retention triggered by dimenhydrinate: A case report
title_sort urinary retention triggered by dimenhydrinate a case report
topic adverse reaction
dimenhydrinate
hesitancy
sertraline
side effect
urinary retention
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1338_22
work_keys_str_mv AT joseffinsterer urinaryretentiontriggeredbydimenhydrinateacasereport