![]() ![]() Learn about the role of losing sleep and the subsequent development of visual hallucinations. It's caused by severe sleep deprivation that continues for a long time. 20 They are involuntary, spontaneous, of varying emotionality, and are found in up to 70 of the general population. 4 Since clonidine is frequently used for a variety of psychiatric disorders, such as attention deficit hyperactivity disorder, tic disorders, aggression, and opiate withdrawal, it is essential to be aware of and to monitor for this rare but serious adverse effect. Sleep deprivation psychosis can cause hallucinationswhen you see or hear things that aren't there. This term refers to fleeting perceptual experiences that occur during the transition from wakefulness to sleep (hypnagogic hallucinations) and from sleep to wakefulness (hypnopompic hallucinations). 3 Another case report reported the emergence of auditory hallucinations and paranoia with the use of clonidine for management of severe hypertension. One case report included three patients, two of which experienced visual hallucinations. 2 A PubMed literature search using the terms clonidine and hallucinations revealed only four case reports. Rarely, anxiety, depressive symptoms, sleep disturbances, and hallucinations have also been reported. 1 Common adverse effects of clonidine include sedation, dizziness, fatigue, and rebound hypertension with sudden discontinuation. Auditory verbal hallucinations (AVH) are a common phenomenon, occurring in the healthy population as well as in several mental illnesses, most notably. This decrease in central noradrenergic activity is the likely underlying mechanism for clonidine, causing a reduction in PTSD symptoms such as nightmares and startle reaction. Clonidine is a central presynaptic α 2-agonist that causes a reduction in sympathetic activity. Clonidine was discontinued, following which the hallucinations stopped, although nightmares and flashbacks recurred.ĭiscussion. While this symptom occurs fairly often in people with schizophrenia. Thereafter, flashbacks and nightmares disappeared and sleep improved however, he started hearing a voice that referred to him in third person. Auditory hallucinations involve hearing sounds that have no source or observable cause. Clonidine was initiated at 0.05mg and gradually titrated to 0.15mg at night. The depressive symptoms responded well to sertraline however, he continued to have intrusive flashbacks and significant disruption of sleep due to recurrent nightmares about the accident. He was referred to psychiatry for management of depression and posttraumatic stress disorder (PTSD). Auditory, visual, olfactory, gustatory, tactile, somatic, and verbal hallucinations can be symptoms of anxiety disorder, including anxiety and panic attacks, generalized anxiety disorder, social anxiety disorder, and obsessive-compulsive disorder. A 53-year-old African-American man was in a motor vehicle accident that resulted in multiple orthopedic surgeries and an extensive rehabilitation process. We report a case of auditory hallucinations in the context of clonidine use.Ĭase report. Clonidine is used to manage a variety of psychiatric symptoms in addition to general medical conditions such as hypertension and pain. ![]()
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