Psychiatry and Clinical Psychopharmacology
Case Report

Black Hairy Tongue Probably Related to Paroxetine Use: A Case Report

1.

Afsin State Hospital, Psychiatry Clinic, Kahramanmaras - Turkey

2.

Afsin State Hospital, Dermatology Clinic, Kahramanmaras - Turkey

3.

Erzurum Area State Hospital, Psychiatry Clinic, Erzurum - Turkey

Psychiatry and Clinical Psychopharmacology 2015; 25: 403-406
DOI: 10.5455/bcp.20150707104145
Keywords : paroxetine, black, hairy, tongue
Read: 851 Downloads: 414 Published: 25 January 2021

Black hairy tongue (BHT), also known as “lingua villosa nigra,” is a benign and reversible disorder characterized by hypertrophy of filiform papillae (longer than 3 mm) on the surface of the tongue. Although BHT is usually asymptomatic, in some cases nausea, halitosis and gagging may accompany to BHT. Poor oral hygiene, smoking, alcohol, cancer, and drugs are important in etiology of BHT. Previously reported drugs associated with BHT are antibiotics and psychotropics such as olanzapine, fluoxetine, clonazepam, thiothixene, and benztropine mesylate. BHT has not been reported with paroxetine before. Here we report a case of BHT occurred after initiation of paroxetine in a 30-year-old man for his anxiety disorder and disappeared after discontinuation, which identifies a probable association with paroxetine..

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