Serotonin Syndrome Flashcards

1
Q

what can cause serotonin syndrome?

A
  • monoamine oxidase inhibitors
  • SSRIs
  • ecstasy
  • amphetamines
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2
Q

what medications interact with SSRIs and increase the likelihood of developing serotonin syndrome?

A
  • st johns wort
  • tramadol
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3
Q

what are the neuromuscular features of serotonin syndrome?

A

excitation
* hyperreflexia
* myoclonus
* rigidity

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4
Q

what are the autonomic nervous system features of serotonin syndrome?

A

excitation
* hyperthermia
* sweating

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5
Q

what mental state features are seen in serotonin syndrome?

A

confusion

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6
Q

how is serotonin syndrome managed?

A
  • supportive including IV fluids
  • benzodiazepine
  • severe = serotonin antagonists
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7
Q

name serotonin antagonists

A
  • cyproheptadine
  • chlorpromazine
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8
Q

what clinical signs can be seen in serotonin syndrome?

A
  • tachycardia
  • raised BP
  • hyperreflexia
  • clonus
  • dilated pupils
  • pyrexia
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