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Rapid In Situ Hybridization using Oligonucleotide Probes on Paraformaldehyde-prefixed Brain of Rats with Serotonin Syndrome
Published on: September 23, 2015
Overview of serotonin syndrome.
Mohammad M Iqbal1, Miles J Basil, Jonathan Kaplan
1Auburn Mental Health Unit, Central New York Psychiatric Center, Marcy, NY 13403, USA. iqbalmo@upstate.edu
Serotonin syndrome (SS) is a dangerous drug reaction causing excess serotonin. Prompt recognition and supportive care are key for managing SS, which is predictable and preventable.
Area of Science:
- Pharmacology
- Toxicology
- Clinical Medicine
Background:
- Serotonin syndrome (SS) is a rare, life-threatening condition from excessive serotonergic activity.
- It can result from therapeutic doses, drug interactions, overuse, or recreational drug use.
- This review covers SS epidemiology, pathophysiology, clinical features, diagnosis, management, and prevention.
Purpose of the Study:
- To provide a comprehensive overview of Serotonin Syndrome.
- To highlight the importance of recognizing and managing SS in clinical practice.
Main Methods:
- A MEDLINE search was conducted for literature from 1955 to 2011.
Main Results:
- SS often arises from serotonergic agents, sometimes with monoamine oxidase inhibitors.
- Classic symptoms include altered mental status, neuromuscular abnormalities, and autonomic hyperactivity, though not always simultaneously.
- Manifestations are diverse, leading to potential misdiagnosis; severity ranges from mild to life-threatening.
Conclusions:
- Increased clinician awareness of SS is crucial due to rising serotonergic agent use.
- SS is a predictable adverse drug reaction, not idiosyncratic, thus preventable.
- Mild SS cases are manageable with prompt care; severe cases have a favorable prognosis with supportive treatment.
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