Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
  • Home
  • about
  • archives
  • contacts
left
FULLSCREEN > Archive > 2022 > Vol 3, №4 (2022) > Experience of treating depression in patient who survived coronavirus infection

Experience of treating depression in patient who survived coronavirus infection

Vladimir E. Medvedev , Ekaterina V. Gushanskaya , Veronika I. Frolova

For citation:


  • Abstract
  • About the Author
  • References

Abstract

A sharp rise in the prevalence of mixed anxiety-depressive disorder is observed during the pandemic. Along with symptoms of anxiety, asthenic complaints and cognitive impairment predominate among clinical manifestations of post-COVID-19 depression [4-7]. This drives the patients to first contact general practitioners and neurologists. In the reported clinical case a female patient, who had recently survived coronavirus infection, developed a moderate depressive episode. Antidepressant monotherapy with vortioxetine (Brintellix) as initial treatment was selected based on the polymorphic clinical picture of mood disorder that included not only clear cognitive and asthenic symptom clusters, but also anxiety symptom cluster. Furthermore, vortioxetine is compatible with anticoagulants still taken by the patient due to recommendations of general practitioner. Taking into account the patient's hypochondriacal fixation on her physical health, it is important to note that vortioxetine has no adverse effects on the function of cardiovascular system. In real clinical practice, vortioxetine (Brintellix) shows high efficacy and good tolerability when used for treatment of depressions developing after coronavirus infection. 
Key words: COVID-19, depression, vortioxetine.

About the Author

Vladimir E. Medvedev 1 , Ekaterina V. Gushanskaya 1 , Veronika I. Frolova 1

1 People’s Friendship University of Russia, Moscow, Russia

References

1. Котова О.В., Медведев В.Э., Акарачкова Е.С., Беляев А.А.
COVID-19 и стресс-связанные расстройства. Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски. 2021; 121
(5–2): 122–8. DOI: 10.17116/jnevro2021121052122
[Kotova O.V., Medvedev V.E., Akarachkova E.S., Beliaev A.A.
COVID-19 i stress-sviazannye rasstroistva. Zhurnal nevrologii i
psikhiatrii im. S.S. Korsakova. Spetsvypuski. 2021; 121 (5–2): 122–
8. DOI: 10.17116/jnevro2021121052122 (in Russian).]
2. Медведев В.Э. Психическое здоровье в условиях пандемии
COVID-19: первые итоги. Клинический разбор в общей медицине. 2020; 1: 22–8. DOI: 10.47407/kr2020.1.1.00004
[Medvedev V.E. Mental health in the context of COVID-19 pandemic: initial assessment. Clinical review for general practice. 2020; 1:
22–8. DOI: 10.47407/kr2020.1.1.00004 (in Russian).]
3. Медведев В.Э. Расстройства тревожно-депрессивного спектра на фоне COVID-19: возможности терапии. Неврология,
нейропсихиатрия, психосоматика. 2021; 13 (2): 111–6. DOI:
10.14412/2074-2711-2021-2-111-116
[Medvedev V.E. Rasstroistva trevozhno-depressivnogo spektra na
fone COVID-19: vozmozhnosti terapii. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2021; 13 (2): 111–6. DOI: 10.14412/2074-2711-
2021-2-111-116 (in Russian).]
4. Котова О.В., Артеменко А.Р., Беляев А.А. и др. Респираторные
панические атаки и COVID-19. Практическая медицина. 2021;
19 (1): 29–33. DOI: 10.32000/2072-1757-2021-1-29-33
[Kotova O.V., Artemenko A.R., Beliaev A.A. et al. Respiratornye
panicheskie ataki i COVID-19. Prakticheskaia meditsina. 2021; 19
(1): 29–33. DOI: 10.32000/2072-1757-2021-1-29-33 (in Russian).]
5. Медведев В.Э., Доготарь О.А., Лызлова Н.Ю. Влияние работы и
учебы в условиях пандемии на психическое состояние медицинских специалистов. Неврология, нейропсихиатрия, психосоматика. 2022; 4.
[Medvedev V.E., Dogotar' O.A., Lyzlova N.Iu. Vliianie raboty i ucheby v usloviiakh pandemii na psikhicheskoe sostoianie meditsinskikh
spetsialistov. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2022;
4. (in Russian).]
6. Медведев В.Э., Фролова В.И., Гушанская Е.В. и др. Астенические расстройства в рамках постковидного синдрома. Журнал Неврологии и психиатрии им. С.С. Корсакова. 2021; 121 (4):
152–8. DOI: 10.17116/jnevro2021121041152
[Medvedev V.E., Frolova V.I., Gushanskaia E.V. et al. Astenicheskie
rasstroistva v ramkakh postkovidnogo sindroma. Zhurnal
Nevrologii i psikhiatrii im. S.S. Korsakova. 2021; 121 (4): 152–8.
DOI: 10.17116/jnevro2021121041152 (in Russian).]
7. Медведев В.Э., Тер-Исраелян А.Ю., Фролова В.И. и др. Оптимизация терапии психических расстройств с мультисиндромальной клинической картиной. Психиатрия и психофармакотерапия им. П.Б. Ганнушкина. 2020; 1: 23–7.
[Medvedev V.E., Ter-Israelian A.Iu., Frolova V.I. et al. Optimization
of the treatment of mental disorders with a multisyndromic clinical
picture. Psikhiatriia i psikhofarmakoterapiia im. P.B. Gannushkina
2020; 1: 23–7 (in Russian).]
8. Котова О.В., Полуэктов М.Г., Медведев В.Э. и др. Расстройства сна при постковидном синдроме – проблема психиатрии
или неврологии? Журнал неврологии и психиатрии им. С.С.
Корсакова. 2022; 122 (5 вып. 2): 23–8. DOI: 10.17116/jnevro
202212205223
[Kotova O.V., Poluektov M.G., Medvedev V.E. et al. Rasstroistva sna
pri postkovidnom sindrome – problema psikhiatrii ili nevrologii?
Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2022; 122 (5
vyp. 2): 23–8. DOI: 10.17116/jnevro202212205223 (in Russian).]
9. Медведев В.Э., Доготарь О.А. COVID-19 и психическое здоровье:
вызовы и первые выводы. Неврология, нейропсихиатрия, психосоматика. 2020; 12 (6): 4–10. DOI: 10.14412/2074-2711-2020-6-4-10
[Medvedev V.E., Dogotar' O.A. COVID-19 i psikhicheskoe zdorov'e:
vyzovy i pervye vyvody. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2020; 12 (6): 4–10. DOI: 10.14412/2074-2711-2020-6-4-10
(in Russian).]
10. Петрова Н.Н. и др. Депрессивные состояния в структуре постковидного синдрома: особенности и терапия. Обозрение
психиатрии и медицинской психологии им. В.М. Бехтерева.
2022; 56: 1: 16–24. DOI: 10.31363/2313-7053-2022-1-16-24
36 | КЛИНИЧЕСКИЙ РАЗБОР | №4 | 2022 | Clinical review for general practice | №4 | 2022 |
Клинический случай / Clinical Case
[Petrova N.N. et al. Depressivnye sostoianiia v strukture
postkovidnogo sindroma: osobennosti i terapiia. Obozrenie psikhiatrii i meditsinskoi psikhologii im. V.M. Bekhtereva. 2022; 56: 1: 16–
24. DOI: 10.31363/2313-7053-2022-1-16-24 (in Russian).]
11. Fagiolini A, Florea I, Loft H, Christensen MC. Effectiveness of Vortioxetine on Emotional Blunting in Patients with Major Depressive
Disorder with inadequate response to SSRI/SNRI treatment. J Affect
Disord 2021; 283: 472–9. DOI: 10.1016/j.jad.2020.11.106.J Affect Disord. 2021;283:472–479
12. Piña IL, Di Palo KE, Ventura HO. Psychopharmacology and Cardiovascular Disease. Journal of the American College of Cardiology
2018: 71 (20); 2346–59.

For citation:Medvedev V.E., Gushanskaya E.V., Frolova V.I. Experience of treating depression in patient who survived coronavirus infection. Clinical review for general practice. 2022; 4: 32–36. DOI: 10.47407/kr2022.3.4.00148


All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

  • About
  • Editorial board
  • Ethics
  • For authors
  • Author fees
  • Peer review
  • Contacts

oa
crossref
анри


  Indexing

doaj
elibrary

Address of the Editorial Office:

127055, Moscow, s/m 37

Correspondence address:

115054, Moscow, Zhukov passage, 19, fl. 2, room XI


Managing Editor:

+7 (495) 926-29-83

id@con-med.ru