- autonomic hyperactivity
- hypertension
- hyperthermia
- tachycardia
- mydriasis
- neuromuscular abnormality
- hyperreflexia
- clonus
- tremor
- hypertonicity
- mental state changes
Drugs associated with serotonin syndrome include:
- lithium
- carbamazepine
- triptans
- illegal drugs
- LSD
- cocaine
- MDMA
- antidepressants
- MAOIs
- SSRIs
- St Johns Wort
Treatment:
- remove cause
- supportive treatment
- cyproheptadine - a 5HT antagonist
- chlorpromazine for hyperthermia and agitation
Now for some postnatal depression...