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Serotonin Syndrome or Just Side Effects?

Posted by BRC on June 30, 2009, at 16:38:06

Hi,

I posted a few days ago about how my psydoc increased my Remeron to 60mg and I was wondering if that was too high of a dose.

I take Cymbalta 60mg and Lyrica 300mg for neuropothy. I take Luvox 200mg, Klonopin 4mg, and now the increased 60mg Remeron for OCD, Depression, and anxiety.

Several posters raised a very valid concern that the Cymbalta, Luvox, and Remeron could cause Serotonin Syndrome. I have been on some form of a SSRI's and other AD's going on ten years now. Doc's have always augmented my meds.

I have always been aware of Serotonin Syndrome. But I thought that it was an acute or sudden life or death kind of thing only. But I began to research it a little more and the line between what I assumed were side effects to my meds and Serotonin Syndrome became a little blurry.

So, I was hopping some of you could set me straight. In my research I found that Serotonin Syndrome can cause brisk reflexes (especially in the lower limbs), minor muscle twitches, and a sense of agitation or restlessness.

I have three doctors I see at least every three months. My psychiatrist, nuerologist, and primary care doctor. They are all aware of my medical history and my meds.

My nuerologist always preforms a physical exam in which I always exhibit brisk reflexes in my legs and feet. He attributes it to the tumor in my spine. My primary doctor always does blood work in which everthing comes back fine. I talk to my psychiatrist and tell him of my need to stay busy (can't sit still). He attributes it to my OCD.

So, are the doctor's right or am I experiencing Serotonin Syndrom? I am confussed as to whether the symptoms of Serotonin Syndrome are acute and go away quickly. Or can they be constant?

My symptoms are constant and I just assume they were the side effects of my meds? Could I be wrong.?

Sorry for such a long, confusing post. Just wanted to get as much prudent information in so people could come to a conclusion.

BRC


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