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Doctor insights on: Can You Get Serotonin Syndrome From Smoking Pot

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Can taking wellbutrin (bupropion) and Zoloft and smoking cannabis cause serotonin syndrome? I've had a few panic attacks that I am worried may actually be ss

Can taking wellbutrin (bupropion) and Zoloft and smoking cannabis cause serotonin syndrome? I've had a few panic attacks that I am worried may actually be ss

Cannabis?: Cannabis can cause anxiety, panic attacks and even paranoia. With the problems you have and the medications you take, maybe it would be best to not use cannabis? I would discuss this with your physician to come up with a plan to best address your concerns.

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Dr. Krishna Kumar
178 Doctors shared insights

Serotonin Syndrome (Definition)

Complex as can be grouped with neuroleptic malignant syndrome. Characterized by hyperthermia, muscle rigidity, altered mental status, usually associated with medicines that block or deplete dopamine, such as most anti-psychotics, and ssri antidepressants. May be precipitated by fever, infection, high environmental temperatures. Can be life ...Read more


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Can you get serotonin syndrome from long term Zoloft (sertraline) use?

Can you get serotonin syndrome from long term Zoloft (sertraline) use?

Combo or high dose: Serotonin syndrome is too much serotonin in the brain. If you have tolerated zoloft (sertraline) for a long time, than your chances of developing the syndrome are low, unless your dose was increased or another med added. Other psychotropics, pain meds (e.g. Ultram), migraine meds (triptans), HIV meds, stimulants & hallucinogens w/ zoloft (sertraline) can raise the risk. Inform your doctor of all the meds you're taking.

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Can you get serotonin syndrome if you start taking 12.5 mg of zoloft and no other medications?

Can you get serotonin syndrome if you start taking 12.5 mg of zoloft and no other medications?

Unlikely but if you: Experience symptoms of excessive serotonin including nausea, vomiting, diarrhea, agitation, confusion, restlessness, dilated pupils, headache, changes in blood pressure/body temperature, rapid heart rate, tremor, loss of muscle coordination, twitching muscles, shivering, goose bumps, or excessive sweating seek medical review. Best regards for good health.

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Can you get serotonin syndrome with a 6, 000 mg of sertraline combined with 400 mg of phenergan (promethazine) what can happen.

Can you get serotonin syndrome with a 6, 000 mg of sertraline combined with 400 mg of phenergan (promethazine) what can happen.

Yes: 6000 mg sertraline is 2 months worth medicine that is more then enough. I hope you are not going to do that again. It will not be fun. Please reach out for help before the pills.

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How common is it for somebody to get serotonin syndrome?

How common is it for somebody to get serotonin syndrome?

Uncommon: Serotonin related medications are generally safe as a class, and serotonin syndrome is very uncommon.

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Is it possible to get serotonin syndrome from sam-e by itself?

SAM-e: Can cause serotoneric syndrome if taken with Demerol, (meperidine hydrochloride) Talwin, dextromethorphan (Robitussin), Ultram, Triptans or other antidepressants. It should be taken with Folate, B12 and B6 to avoid elevations of serum homocysteine. It is best taken in the morning on an empty stomach to avoid insomnia. It is not regulated by the FDA. Talk to your doctor about dose-some pill forms have a very short half life.

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Is it possible to get serotonin syndrome from taking Sam-e by itself?

Sam-e: Sam-e increases a brain chemical called serotonin. I saw no report of serotonin syndrome when it is taken by itself. However, if taken with medications that also increase serotonin, it will. Examples are Tramadol, Demerol, antidepressants, Robitussin Dm (guaifenesin and dextromethorphan)

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Is it possible to get serotonin syndrome from taking 400mg of Sam-e by itself, or is it fairly safe?

Is it possible to get serotonin syndrome from taking 400mg of Sam-e by itself, or is it fairly safe?

Probably OK: The Mayo Clinic suggests that higher doses of SAMe can be used (http://www. Mayoclinic. Org/drugs-supplements/same/dosing/hrb-20059935), but each person is an individual; also, it is important not to be taking other agents that could precipitate serotonin syndrome at the same time.

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Can one get serotonin syndrome from using 80 mg of geodon (ziprasidone) everyday?

Can one get serotonin syndrome from using 80 mg of geodon (ziprasidone) everyday?

Possible: Depending on the person, it can happen at any dose. Generally, it is less likely the lower the dose.

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Is there any chance to get serotonin syndrome one month after on venlafaxine 75mg without increase the dose?

Is there any chance to get serotonin syndrome one month after on venlafaxine 75mg without increase the dose?

If you have any: Concerns about side effects, see your MD immediately. This class of meds can produce some very weird and worrisome and potentially dangerous side effects, and sooner than you think.

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Can I get serotonin syndrome from a starting dose of 50mg of zoloft (sertraline)?

Unlikely: Serotonin syndrome is very rare already. At this dose, it is unlikely. However, it is possible. It also depends on what else you are taking; if you are taking migraine medications, other psychiatric medications, or pain medications (like tramadol), you are more likely to get it. If you think you have it, stop the zoloft (sertraline) and ask the doctor who prescribed it.

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I may have taken twice my 200mg dosage of Zoloft (sertraline). When would I be able to tell? Would I get serotonin syndrome? What should I do?

I may have taken twice my 200mg dosage of Zoloft (sertraline). When would I be able to tell? Would I get serotonin syndrome? What should I do?

If you get: Serotonergic syndrome from an extra dose of Zoloft (sertraline) the symptoms would likely be mild and short lived. Get a multi day pill box to avoid this issue in the future. If your pulse is less than 120 your fine. If you are not sure how to take your pulse look it up. (Its a good thing to know) If you have an elevated temperature and are sweating a lot or have confusion have someone take you to the ER.

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Does serotonin syndrome affect everyone at different amounts depending on the person's brain, or does everyone get affected at the same amount?

Serotonin Syndrome: Although we commonly think of serotonin syndrome occuring on high doses of multiple serotonergic drugs - the reality is that there are some people who may develop it on low doses. So, it is variable with different people.

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Can I get serotonin syndrome from 20 mg fluoxetine and 10 mg oxycodone?

Can I get serotonin syndrome from 20 mg fluoxetine and 10 mg oxycodone?

Serotonin Syndrome: Fluoxetine & oxycodone can increase risk for Serotonin Syndrome. Although one normally is concerned about risks with higher medication doses - the problem is that some people can develop serotonin at low dosage levels.

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Is it possible to get serotonin syndrome from st johns wort, 5htp, or sam-e, when taken by themselves, and without any other medications?

Is it possible to get serotonin syndrome from st johns wort, 5htp, or sam-e, when taken by themselves, and without any other medications?

Serotonin syndrome: Is possible but is rare from herbals and natural products -- unless you took multiple doses per day. With stacking of these or combining with a prescribed anti depressant med or migraine med, then serotonin syndrome risks will escalate.

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Should discontinuing my medication get rid of serotonin syndrome? Went to ER and they did nothing. How long will it take for me to recover?

Should discontinuing my medication get rid of serotonin syndrome? Went to ER and they did nothing. How long will it take for me to recover?

Serotonin Syndrome: The major symptoms can sometimes dissipate as quickly as 24 hours. I have only seen a handful of patients with this condition. For most of them it took several days for them to solidly feel better.

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Is it likely to get serotonin syndrome if I take 20 mg of Lexapro (escitalopram) with dextromethorphan for a cold? Epocrates says to watch out for it.

Is it likely to get serotonin syndrome if I take 20 mg of Lexapro (escitalopram) with dextromethorphan for a cold? Epocrates says to watch out for it.

No, as long as your: No, as long as your not taking the medications at the same time. Make sure your dosages are spaced apart where there are no adverse reactions, .

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Does a serum prolactin level test show your serotonin level 2 can I get serotonin syndrome from 10mg a nite of amitriptyline when it not 1st time used?

Serum prolactin test: Measures prolactin, not serotonin. Serotonin syndrome usually is caused by a combination of medicines, not just one. Please see this link for very helpful information including a list of drugs to compare to those you are taking. Http://www. Mayoclinic. Com/health/serotonin-syndrome/ds00860.

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Serotonin (Definition)

Serotonin is a chemical derived from the Amino Acid tryptophan and acts as a neurotransmitter (communicating ...Read more