
The Internet Book of Critical Care Podcast
IBCC Episode 40 - Serotonin Syndrome / Toxicity
Jun 13, 2019
This podcast discusses the causes and treatment of serotonin syndrome, including medication interactions and overdose. It explores the clinical presentation, diagnostic criteria, and differential diagnosis of serotonin syndrome. The speakers also talk about various agents used to treat serotonin syndrome and the effectiveness of cooling methods for managing hyperthermia. The criteria for diagnosing serotonin syndrome and the approach to sedation are also discussed.
28:12
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Quick takeaways
- Serotonin syndrome can be caused by the interaction of multiple serotonergic medications, as well as illicit drugs and certain substances like St. John's wort and lithium.
- Diagnosing serotonin syndrome relies on recognizing the combination of symptoms such as mental status changes, sympathetic hyperactivity, and neuromuscular excitation.
Deep dives
Causes and Interactions of Serotonin Syndrome
Serotonin syndrome can occur not only from overdose of serotonergic medication, such as SSRIs, but also from the interaction of multiple serotonergic medications. This complex interaction can involve drugs that inhibit the metabolism of a second drug, which then interacts with a third drug, resulting in complicated interactions.
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