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A patient with coexisting narcolepsy and morbid jealousy showing favourable response to fluoxetine.
  1. Y. K. Wing,
  2. S. Lee,
  3. H. F. Chiu,
  4. C. K. Ho,
  5. C. N. Chen
  1. Department of Psychiatry, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin.


    A 37 year old Chinese man suffered from coexisting narcolepsy and morbid jealousy which were precipitated by head injury 5 years previously. Fluoxetine 20 mg/day reduced his narcoleptic symptoms and morbid jealousy but not his sleepiness. On defaulting treatment, the patient's symptoms and marital problem recurred. A common central serotonin disturbance might be involved in mediating the sleep disorder and associated psychopathology.

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