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From the Research
Treatment Options for Psychogenic Polydipsia
The treatment for psychogenic polydipsia (Primary Polydipsia) includes:
- Behavioral modifications such as free water restriction 1
- Medications to modify free water excretion 1
- Psychotropic medications to target psychotic symptoms 1
- Electroconvulsive therapy (ECT) in severe cases 1
- Propanolol therapy to reduce polydipsia and water intoxication 2
- Combination of pharmacotherapy, fluid restriction, and psychosocial management 3
- Non-pharmacological management, including psycho-education and behavioral modification therapy involving family members 4
Non-Antipsychotic Pharmacotherapy
Non-antipsychotic medications that have been studied for the treatment of psychogenic polydipsia include:
- Acetazolamide, which has been shown to be effective in improving some outcomes 5
- Fluoxetine at high doses, which has been effective in reducing fluid intake and polydipsia 5
- Other medications, which have performed equivocally in reducing polydipsia outcomes 5
Management Challenges
The management of psychogenic polydipsia can be challenging, and a combination of treatment approaches may be necessary to effectively manage the condition 1, 3, 4. Regular monitoring and evaluation of the patient's condition are crucial to prevent complications such as hyponatremia and water intoxication 2, 4.