Department of Pediatrics, Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, United States
Case Report
Fluoxetine Use for the Treatment of Anxiety-Induced Vomiting in 3-Year-Old Children with Complex Trauma and Developmental Concerns: A Case Report
Author(s): Daniel J McNeil*, Deborah L Preston, Maggie Blackwood and Hillary Porter
Background: Heightened anxiety often is seen in children with trauma histories and complex healthcare problems,
and vomiting is a common anxiety reaction. Fluoxetine has demonstrated clinical safety and efficacy in pediatric
patients. However, there are no published case examples of the pharmacological management of anxiety-induced
vomiting in young children.
Case presentation: Cases involve two 3-year-old females with multiple health conditions and neglect, presenting
with anxiety-induced vomiting. Fluoxetine was prescribed due to the anxiety-related gastrointestinal symptomatology
and subsequently reduced vomiting and increased nutritional intake benefiting overall health.
Conclusion: Outcomes of these cases suggest the possible efficacy of fluoxetine even in young children with anxietyrelated
sympt.. View more»