Selective serotonin reuptake inhibitor toxicity
Background
- Most serious adverse effect is potential to produce Serotonin Syndrome
- Fatalities are uncommon with pure overdoses
Clinical Features
- N/V
- Sedation
- Tremor
- Sinus Tachycardia
- QRS, QT prolongation (citalopram only)
- Serotonin Syndrome
Treatment
- GI decontamination
- Activated charcoal x1
- Gastric lavage unnecessary
Disposition
- Consider admission for patients who are tachycardic or lethargic 6hr after ingesion
See Also
Source
Tintinalli