Has anyone had serotonin syndrome? Treatment and outcome?

Posted by WILKINS905 @wilkins905, Jul 22, 2012

Has anyone been thru an experince with this from a bad mix of drugs and if so what was the final outcome and what type of treatment was given

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Profile picture for bruceg @bruceg

Has anyone on here been diagnosed with serotonin syndrome? What were the causes ?

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My doctor prescribed Zofran to help with stomach knots due to anxiety. I researched and read taking Zofran and Prozac although rare could cause serotonin syndrome. My physc never mentioned this. Any thoughts or experience with this combination?

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Profile picture for sears @sears

My doctor prescribed Zofran to help with stomach knots due to anxiety. I researched and read taking Zofran and Prozac although rare could cause serotonin syndrome. My physc never mentioned this. Any thoughts or experience with this combination?

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Hi @sears, very smart of you to do your research before starting a new medication. You'll notice that I moved your message to this existing discussion about serotonin syndrome so that you can connect with @bruceg @texasduchess and others.

Here are some possibly useful articles to add to your research:
- Serotonin syndrome: Symptoms & Causes: https://www.mayoclinic.org/diseases-conditions/serotonin-syndrome/symptoms-causes/syc-20354758
- Drug Interactions between Prozac and Zofran: https://www.drugs.com/drug-interactions/prozac-with-zofran-1115-648-1752-1120.html

@sears, would you be taking both Zofran and Prozac?

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @sears, very smart of you to do your research before starting a new medication. You'll notice that I moved your message to this existing discussion about serotonin syndrome so that you can connect with @bruceg @texasduchess and others.

Here are some possibly useful articles to add to your research:
- Serotonin syndrome: Symptoms & Causes: https://www.mayoclinic.org/diseases-conditions/serotonin-syndrome/symptoms-causes/syc-20354758
- Drug Interactions between Prozac and Zofran: https://www.drugs.com/drug-interactions/prozac-with-zofran-1115-648-1752-1120.html

@sears, would you be taking both Zofran and Prozac?

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I don’t know. I’m on the fence. I talked to my pharmacist today and he said he’s never in 30 years seen a case of serotonin syndrome and would himself take Prozac and Zofran together if he needed to and never worry about serotonin syndrome. He did say he wasn’t sure it work for stomach knots but it wouldn’t hurt to try it.

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Profile picture for bruceg @bruceg

Has anyone on here been diagnosed with serotonin syndrome? What were the causes ?

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Most pharmacists are knowledgeable about pharmaceuticals and provide great info.

Don’t be afraid to ask. I go to the pharm doc ..
(A pharmacist with a doctorate in Pharmaceuticals )
and now ask questions. She knows everything about meds .. or finds the info.

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Profile picture for Ellen @helenfrances

Most pharmacists are knowledgeable about pharmaceuticals and provide great info.

Don’t be afraid to ask. I go to the pharm doc ..
(A pharmacist with a doctorate in Pharmaceuticals )
and now ask questions. She knows everything about meds .. or finds the info.

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I did he said it would be fine.

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Profile picture for cathy~ @cathyh

This is my third time of going through this horrible syndrome. I have multiple docs and meds and once again one prescribed something (over the counter) that has made me sick for over two weeks. The latest one was a doc suggested I take some cough medicine after I had sent him a message on his portal. He had a list of my meds, but still told me to take this one, MucinexDM, that put me over the top. I am not the doctor or pharmacist. Why can't they get this right? I am upset he did this. I am physically and mentally miserable! Has anyone here got any suggestions in dealing with multiple docs and meds to prevent this?

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So, I've recently been dealing with a large amount of anxiety. I was given a few different meds to use to try and get proper control over it - right now I'm using Venlafaxine 225 MG ER which I've been on a few years, and clonazepam, which I've been weaning off of.

On Monday I was very sick. I had started with what I believed to be allergies - runny nose, sneezing, scratchy throat. Later in the day I got a stomach ache, and a headache. I was also nauseous. I saw the doctor who tested me for covid, and it was negative, but symptoms began to alleviate. Last night however, after a quick shower and taking my clonazepam dose, I had an unexplainable episode of fast heart rate. It felt like it pounded out of my chest.

Today, I once again noticed some muscle spasms. I've been having them relatively regularly since I started clonazepam. I didn't think much of it. But now I'm utterly terrified - all these put together sound like Serotonin syndrome. And I'm terrified I'm ill and possibly near death. I'm scared. My family doesn't think I'm in danger but I feel horrified.

Please, can someone give me advice on what to do?

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Profile picture for robjbost @robjbost

So, I've recently been dealing with a large amount of anxiety. I was given a few different meds to use to try and get proper control over it - right now I'm using Venlafaxine 225 MG ER which I've been on a few years, and clonazepam, which I've been weaning off of.

On Monday I was very sick. I had started with what I believed to be allergies - runny nose, sneezing, scratchy throat. Later in the day I got a stomach ache, and a headache. I was also nauseous. I saw the doctor who tested me for covid, and it was negative, but symptoms began to alleviate. Last night however, after a quick shower and taking my clonazepam dose, I had an unexplainable episode of fast heart rate. It felt like it pounded out of my chest.

Today, I once again noticed some muscle spasms. I've been having them relatively regularly since I started clonazepam. I didn't think much of it. But now I'm utterly terrified - all these put together sound like Serotonin syndrome. And I'm terrified I'm ill and possibly near death. I'm scared. My family doesn't think I'm in danger but I feel horrified.

Please, can someone give me advice on what to do?

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Hi @robjbost. That definitely sounds scary. I think the best thing to do is call your prescribing physician right away.

If your symptoms are related to too much serotonin they can tell you what to do.

If they are not related to the medications, they could be a sign of something else that needs attention.

Bottom line is: if YOU feel that something’s not right then please seek medical help. Listen to your body and always err on the side of caution.

Even if it’s nothing, you will probably feel better getting checked and letting the doctor know what’s happening.

Hope you feel better soon.

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Profile picture for robjbost @robjbost

So, I've recently been dealing with a large amount of anxiety. I was given a few different meds to use to try and get proper control over it - right now I'm using Venlafaxine 225 MG ER which I've been on a few years, and clonazepam, which I've been weaning off of.

On Monday I was very sick. I had started with what I believed to be allergies - runny nose, sneezing, scratchy throat. Later in the day I got a stomach ache, and a headache. I was also nauseous. I saw the doctor who tested me for covid, and it was negative, but symptoms began to alleviate. Last night however, after a quick shower and taking my clonazepam dose, I had an unexplainable episode of fast heart rate. It felt like it pounded out of my chest.

Today, I once again noticed some muscle spasms. I've been having them relatively regularly since I started clonazepam. I didn't think much of it. But now I'm utterly terrified - all these put together sound like Serotonin syndrome. And I'm terrified I'm ill and possibly near death. I'm scared. My family doesn't think I'm in danger but I feel horrified.

Please, can someone give me advice on what to do?

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Hi @robjbost.

How are you? Were you able to get some answers or relief from your symptoms?

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Profile picture for robjbost @robjbost

So, I've recently been dealing with a large amount of anxiety. I was given a few different meds to use to try and get proper control over it - right now I'm using Venlafaxine 225 MG ER which I've been on a few years, and clonazepam, which I've been weaning off of.

On Monday I was very sick. I had started with what I believed to be allergies - runny nose, sneezing, scratchy throat. Later in the day I got a stomach ache, and a headache. I was also nauseous. I saw the doctor who tested me for covid, and it was negative, but symptoms began to alleviate. Last night however, after a quick shower and taking my clonazepam dose, I had an unexplainable episode of fast heart rate. It felt like it pounded out of my chest.

Today, I once again noticed some muscle spasms. I've been having them relatively regularly since I started clonazepam. I didn't think much of it. But now I'm utterly terrified - all these put together sound like Serotonin syndrome. And I'm terrified I'm ill and possibly near death. I'm scared. My family doesn't think I'm in danger but I feel horrified.

Please, can someone give me advice on what to do?

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. Please go to the ER if you’re doctor isn’t responding. You’re not well right now and need medical intervention.

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Profile picture for robjbost @robjbost

So, I've recently been dealing with a large amount of anxiety. I was given a few different meds to use to try and get proper control over it - right now I'm using Venlafaxine 225 MG ER which I've been on a few years, and clonazepam, which I've been weaning off of.

On Monday I was very sick. I had started with what I believed to be allergies - runny nose, sneezing, scratchy throat. Later in the day I got a stomach ache, and a headache. I was also nauseous. I saw the doctor who tested me for covid, and it was negative, but symptoms began to alleviate. Last night however, after a quick shower and taking my clonazepam dose, I had an unexplainable episode of fast heart rate. It felt like it pounded out of my chest.

Today, I once again noticed some muscle spasms. I've been having them relatively regularly since I started clonazepam. I didn't think much of it. But now I'm utterly terrified - all these put together sound like Serotonin syndrome. And I'm terrified I'm ill and possibly near death. I'm scared. My family doesn't think I'm in danger but I feel horrified.

Please, can someone give me advice on what to do?

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@robjbost, I completely agree with the comments you got from @witsend000 and @sears. I hope you heeded their advice and called your doctor or went to ER.

You'll notice that I moved your post to this existing discussion where others are talking about how to recognized serotonin syndrome, what causes it and how you can prevent it.
- Anyone had serotonin syndrome? What causes it? How to prevent it? https://connect.mayoclinic.org/discussion/serotonin-syndrome-1/

I encourage you to click the link above and read through the helpful posts. Rob, How are you doing today?

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