• Can J Emerg Med · Mar 2002

    Serotonin syndrome due to an overdose of moclobemide?

    • Andrew Ip and Tia Renouf.
    • Department of Emergency Medicine, St. Paul's Hospital, Vancouver, British Columbia, Canada.
    • Can J Emerg Med. 2002 Mar 1;4(2):98-101.

    AbstractSerotonin syndrome, a triad of autonomic instability, altered mental status and neuromuscular abnormalities, is usually attributed to serotonergic overdoses. Moclobemide is a new selective monoamine oxidase inhibitor (MAOI) that generally causes mild, self-limited gastrointestinal and central nervous system effects after ingestion. We present a case of serotonin syndrome that occurred after moclobemide overdose, and discuss the recognition and treatment of this important condition. Serotonin syndrome may become increasingly common because of the liberal use of selective serotonin reuptake inhibitors, new MAOIs and other agents such as codeine and meperidine, which have the potential for harmful interaction.

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