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Topics:
Psychiatry • Consultation-Liaison Psychiatry • General Outpatient Psychiatry • Major Depressive Disorder • Psychopharmacology
What is your pharmacological approach to treating depressive disorders in patients who develop serotonin toxicity?
How does the development of serotonin toxicity/syndrome change your usage of serotonergic medications? Which medications/classes of medications do you transition to in these cases?
Answer from: at Community Practice
I would try bupropion. Not Auvelity as dextromethorphan has serotonergic activity. I would want to see if they were on any medication other than psychiatric that contributed to serotonin syndrome like tramadol and get rid of that or replace it as needed. I would probably want to transition to a nonp...
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