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Hsieh YY, Lin CM, Chen CY. Serotonin Syndrome From the Complex Drug Interactions of Second-Generation Antipsychotics in Older Patients: Case Report and Literature Review. Am J Ther 2024; 31:e300-e303. [PMID: 38150552 PMCID: PMC11060054 DOI: 10.1097/mjt.0000000000001685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Affiliation(s)
- Yun-Yun Hsieh
- Department of Psychiatry, Chang Gung Hospital, Keelung, Taiwan
| | - Che-Min Lin
- Department of Psychiatry, Chang Gung Hospital, Keelung, Taiwan
- School of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Ching-Yen Chen
- Department of Psychiatry, Chang Gung Hospital, Keelung, Taiwan
- School of Medicine, Chang Gung University, Taoyuan, Taiwan
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McGuire JM, Werremeyer A. Serotonin Toxicity in Older People. Sr Care Pharm 2022; 37:377-379. [DOI: 10.4140/tcp.n.2022.377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Serotonin toxicity, sometimes referred to as serotonin syndrome, results in a triad of clinical features that include autonomic signs, neuromuscular changes, and altered mental status, which may range from mild symptoms to fatal toxicity. As a result, serotonin toxicity is best thought of as a spectrum of symptoms rather than as a syndrome. Older patients may be at higher risk for serotonin toxicity because of the presence of drug-drug interactions as well as pharmacokinetic changes that occur with aging.
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Affiliation(s)
- J. Michael McGuire
- Associate Professor of Pharmacy Practice Belmont University College of Pharmacy Nashville, Tennessee
| | - Amy Werremeyer
- Chair and Professor Pharmacy Practice Department College of Health Professions North Dakota State University Fargo, North Dakota
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