Serotonin Syndrome - Rapid onset - Combination of 2+ serotonin agonists Mental status changes: - Agitation - Pressured speech Autonomic instability: - Tachycardia - Diarrhea - Shivering - Diaphoresis - Mydriasis Neuromuscular abnormalities: - Clonus - Hyperreflexia (lower > upper) - Tremor - Seizure Rx: - Benzodiazepines - Hydration/Cooling - Cyproheptadine #Serotonin #Syndrome #Diagnosis #Management