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September 1, 2015BJPsych AdvancesOpen Access

Serotonin syndrome: a spectrum of toxicity

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Key result

Serotonin syndrome is a potentially serious adverse drug reaction caused by excess serotonin, with an estimated incidence of 0.5 to 0.9 cases per 1000 patient-months of treatment in general practice.

Population

Patients at risk of or presenting with serotonin syndrome

Design

Review

Discussion

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Implication

Warrants vigilance for serotonergic combinations in practice; extends incidence estimates but leaves prospective validation open.

Structured PICO

P
Population
Patients at risk of or presenting with serotonin syndrome
E
Exposure
Serotonergic medications and substances

Serotonin syndrome is a potentially serious, predictable adverse drug reaction requiring prescriber vigilance regarding serotonergic drug combinations and CYP450 interactions.

Limitations

  • Symptoms overlap with features of other psychiatric presentations, leading to diagnostic overshadowing.
  • Diagnostic dilemmas exist in patients on complex drug combinations or drugs with previously unknown serotonergic properties.
  • There is currently no specific test to confirm the diagnosis of serotonin syndrome.

Cite This Study

A 2015 study conducted a review in Serotonin syndrome. Serotonergic agents was evaluated. Serotonin syndrome is a potentially serious adverse drug reaction caused by excess serotonin, with an estimated incidence of 0.5 to 0.9 cases per 1000 patient-months of treatment in general practice.

synapsesocial.com/papers/6a9cd898f4d73a8d7859912chttps://doi.org/10.1192/apt.bp.114.013037
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