Case Report: A case of drug-induced pancreatitis caused by paroxetine with a literature review

Background Acute pancreatitis (AP) incidence is ~76.2 per 100,000. Drug-induced pancreatitis (DIP) accounts for 500 drugs are implicated. Evidence linking the SSRI paroxetine to AP remains sparse. Case presentation A 28-year-old woman with severe depression self-initiated paroxetine 20 mg once daily; within 24 h she developed persistent epigastric pain and bloating. After brief relief with intravenous fluids she re-administered the same dose, and symptoms recurred within 24 h. Labs showed elevated pancreatic enzymes and CRP. CT revealed mild pancreatitis. No alcohol, hyperlipidemia or other classic risk factors were identified. Paroxetine was immediately discontinued; supportive care led to symptom and enzyme normalization within 72 h. She was discharged on trazodone and remains recurrence-free. Discussion Population studies have not established a significant SSRI–AP association, probably because of the extreme rarity of such events (