Characteristics of Serotonin Syndrome and Other Hyperthermic Syndromes
Serotonin Syndrome
- SSRIs, second-generation antidepressants, MAOIs, linezolid, tramadol, meperidine, fentanyl, ondansetron, sumatriptan
- Hypertension, hyperreflexia, tremor,clonus, hyperthermia, hyperactive bowel sounds, diarrhea, mydriasis, agitation
Neuroleptic Malignant Syndrome
- D2-blocking antipsychotics
- Acute severe parkinsonism; hypertension, hyperthermia, normal or reduced bowel sounds; onset over 1-3 days
Malignant hyperthermia
- Volatile anesthetics, succinylcholine
- Hyperthermia, muscle rigidity, hypertension, tachycardia; onset within minutes
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