A Case Report of Onset of Tinnitus Following Discontinuation of Antidepressant and a Review of the Literature
Open accessAbstract
This case report describes a 46-year-old woman with long-standing episodic severe depression (ICD-10 code F33) who discontinued venlafaxine over a 4-week taper after taking the antidepressant for 8 years. Severe discontinuation syndrome was experienced. Panic and relapse of depression occurred 2 months after achieving discontinuation, and the development of tinnitus took place concurrently to the discontinuation. The experience of the tinnitus as a side effect of discontinuation is different from cases reported in the literature in which the tinnitus was experienced when the antidepressant was started and ceased when the antidepressant was stopped. Here, the patient experienced the tinnitus as a discontinuation symptom, and it persisted even after the antidepressant was reintroduced. A review of the literature on antidepressant discontinuation syndrome is also provided.
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In Stein et al. and Montgomery et al., discontinuation symptoms in patients switched to placebo were similar to those of patients maintained on agomelatine.
“In Stein et al. [107] and in Montgomery et al. [108], discontinuation symptoms in patients switched to placebo were similar to those of patients maintained on agomelatine.”
From Acute and Persistent Withdrawal Syndromes Following Discontinuation of Psychotropic Medications (2020) · cites this paper as [108]
Cites
Selective serotonin reuptake inhibitor discontinuation syndrome: proposed diagnostic criteria.
(2000) · PubMed Central · Cited by 207 · see citing works
Newer antidepressants and the discontinuation syndrome.
Haddad, P. M. (1997) · PubMed · Cited by 101 · see citing works
The nature of the discontinuation syndrome associated with antidepressant drugs.
Shelton, R. C. (2006) · PubMed · Cited by 59 · see citing works
Prospective studies of adverse events related to antidepressant discontinuation.
D, M. F. M. (2006) · PubMed · Cited by 52 · see citing works
Physiologic mechanisms underlying the antidepressant discontinuation syndrome.
Blier, P., & Tremblay, P. (2006) · PubMed · Cited by 49 · see citing works
Schatzberg, A. F., Haddad, P. M., Kaplan, E. M., Lejoyeux, M., Rosenbaum, J. F., Young, A. H., & Zajecka, J. (1997) · PubMed · Cited by 49 · see citing works
Antidepressant withdrawal reactions.
Wolfe, R. (1997) · PubMed · Cited by 34 · see citing works
(2006) · PubMed · Cited by 33 · see citing works
Berber, M. J. (1998) · PubMed · Cited by 32 · see citing works
Fluoxetine-induced stuttering.
Guthrie, S., & Grunhaus, L. J. (1990) · PubMed · Cited by 31 · see citing works
Numbness of the arm and hand as a manifestation of leprosy.
Pust, R. E. (1995) · PubMed · Cited by 13 · see citing works
Venlafaxine withdrawal syndrome.
Sabljić, V., Ružić, K., & Rakun, R. (2011) · PubMed · Cited by 11 · see citing works
The dynamics of sex: gender differences in psychiatric disorders.
Af, S. (1997) · PubMed · Cited by 3 · see citing works
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Acute and Persistent Withdrawal Syndromes Following Discontinuation of Psychotropic Medications
Cosci, F., & Chouinard, G. (2020) · Psychotherapy and Psychosomatics · doi:10.1159/000506868 · Cited by 265 · see citing works
Fava, G. A., Benasi, G., Lucente, M., Offidani, E., Cosci, F., & Guidi, J. (2018) · Psychotherapy and Psychosomatics · doi:10.1159/000491524 · Cited by 209 · see citing works
Current pharmacological treatments for tinnitus
Langguth, B., & Elgoyhen, A. B. (2012) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.2012.739608 · Cited by 100 · see citing works
New insights on the antidepressant discontinuation syndrome
Harvey, B. H., & Slabbert, F. N. (2014) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.2429 · Cited by 61 · see citing works
Barbieri, M. A., Cicala, G., Cutroneo, P. M., Mocciaro, E., Sottosanti, L., Freni, F., Galletti, F., Arcoraci, V., & Spina, E. (2019) · Frontiers in Pharmacology · doi:10.3389/fphar.2019.01161 · Cited by 44 · see citing works
The neuropsychiatry of tinnitus: a circuit-based approach to the causes and treatments available
Minen, M. T., Camprodon, J. A., Nehme, R., & Chemali, Z. N. (2014) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2013-307339 · Cited by 36 · see citing works
Effect of Abrupt Discontinuation of Antidepressants in Critically Ill Hospitalized Adults
Bainum, T. B., Fike, D. S., Mechelay, D., & Haase, K. K. (2017) · Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/phar.1992 · Cited by 28 · see citing works
Understanding antidepressant discontinuation syndrome (ADS) through preclinical experimental models
Zabegalov, K. N., Kolesnikova, T. O., Khatsko, S. L., Volgin, A. D., Yakovlev, O. A., Amstislavskaya, T. G., Alekseeva, P. A., Мешалкина, Д. А., Friend, A. J., Bao, W., et al. (2018) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2018.04.003 · Cited by 15 · see citing works
Evaluation and Management of Tinnitus: Are There Opportunities for Improvement?
Grundfast, K. M., & Jamil, T. L. (2022) · Otolaryngology · doi:10.1177/01945998221088286 · Cited by 11 · see citing works
Sensory neurologic disorders: Tinnitus
Chemali, Z. N., Nehme, R., & Fricchione, G. L. (2019) · Handbook of clinical neurology · doi:10.1016/b978-0-444-64012-3.00022-8 · Cited by 8 · see citing works
Liu, J., Tan, J., Xiao, Q., Bai, Y., Chang, E., Su, C. Y., Wei, Y., Zhong, H., & Wei, W. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1532461 · Cited by 2 · see citing works
Langguth, B. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-820472-6.00034-7 · Cited by 1 · see citing works
Du, X., Lu, J., Yokell, Z., Cheng, W., Nakmali, D. U., Kopke, R. D., & West, M. (2025) · IBRO Neuroscience Reports · doi:10.1016/j.ibneur.2025.07.005 · Cited by 1 · see citing works
À propos d’un cas d’exacerbation sévère d’acouphènes lors d’un syndrome d’arrêt à la venlafaxine
Meyer, G., Erb, A., Michel, B., Hingray, C., Duval, F., & Javelot, H. (2020) · Therapies · doi:10.1016/j.therap.2020.06.009 · Cited by 1 · see citing works
Umashankar, A., Sedley, W., Alter, K., & Gander, P. E. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.08.02.668306 · Cited by 1 · see citing works
Citalopram Associated with the Development of Tinnitus in an Adolescent Girl
Ağır, H., & Çoşkun, F. (2024) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0000000000001937
- Authors
- Clewes, J.
- Affiliations
- North Staffordshire Combined Healthcare NHS Trust (GB)
- Corresponding author
- Clewes, Jane
- Venue
- The Primary Care Companion For CNS Disorders
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2012-02-16
- Volume
- 14
- Issue
- 1
- ISSN
- 2155-7772 (ISSN-L)
- 2155-7780
- PMC
- PMC3357564
- OpenAlex
- W2055900847
- Cited by
- 16
- References
- 13
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2014: 2 · 2012: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Primary Care Companion For CNS Disorders (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Keywords
- tinnitus, antidepressant discontinuation syndrome, venlafaxine, depression, drug discontinuation, adverse drug reactions, antidepressant tapering, depression relapse
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