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Risk factors
By Mayo Clinic staffSome people are more susceptible to the drugs and supplements that cause serotonin syndrome than are others, but the condition can occur in anyone.
You're at increased risk of serotonin syndrome if:
- You recently started taking or increased the dose of a new medication known to increase serotonin levels
- You take more than one drug known to increase serotonin levels
- You take herbal supplements known to increase serotonin levels
- You use an illicit drug known to increase serotonin levels
References
- Moore DP. Serotonin syndrome. In: Moore DP. Moore & Jefferson: Handbook of Medical Psychiatry. 2nd ed. Philadelphia Pa.: Mosby; 2004. http://www.mdconsult.com/das/book/body/113440701-3/0/1243/148.html#4-u1.0-B0-323-02911-6..50148-2_1373. Accessed Dec. 10, 2008.
- Bilden EF, et al. Antidepressants. In: Marx JA: Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia Pa.: Elsevier; 2006. http://www.mdconsult.com/das/book/body/113410207-5/0/1365/463.html#4-u1.0-B0-323-02845-4..50154-2--cesec45_7826. Accessed Dec. 10, 2008.
- Boyer EW, et al. Serotonin syndrome. New England Journal of Medicine. 2005;352:1112.
- Combined use of 5-hydroxytryptamine receptor agonists (triptans), selective serotonin reuptake inhibitors (SSRIs) or selective serotonin/norepinephrine reuptake inhibitors (SNRIs) may result in life-threatening serotonin syndrome. US Food and Drug Administration. http://www.fda.gov/Cder/Drug/advisory/SSRI_SS200607.htm. Accessed Dec. 10, 2008.
- Zeping H, et al. Herb-drug interactions. Drugs. 2005;65:1239.
- Chyka PA, et al. Dextromethorphan poisoning: An evidence-based consensus guideline for out-of-hospital management. Clinical Toxicology. 2007;45:662.
- Argwal P. Serotonin syndrome. In: Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/113440701-3/0/1701/541.html#4-u1.0-B978-0-323-04134-8..50022-7--subchapter15_11410. Accessed Dec. 10, 2008
