Serotonergic: syndrome usually presents with elevated heart rate, stiff muscles and elevated temperature. You usually don't see the latter two things with panic attacks in isolation. And yes its possible to get either or both of these problems with this combination of meds depending on the dose. Avoid triptans Reglan, St Johns Wort, Buspar, (buspirone) Yohimbe, Nutmeg, lithium, Tramadol, Lortab, MAOI's while on this combo
Answered 5/23/2016
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