Page last updated: 2024-10-25

cyproheptadine and Serotonin Syndrome

cyproheptadine has been researched along with Serotonin Syndrome in 29 studies

Cyproheptadine: A serotonin antagonist and a histamine H1 blocker used as antipruritic, appetite stimulant, antiallergic, and for the post-gastrectomy dumping syndrome, etc.
cyproheptadine : The product resulting from the formal oxidative coupling of position 5 of 5H-dibenzo[a,d]cycloheptene with position 4 of 1-methylpiperidine resulting in the formation of a double bond between the two fragments. It is a sedating antihistamine with antimuscarinic and calcium-channel blocking actions. It is used (particularly as the hydrochloride sesquihydrate) for the relief of allergic conditions including rhinitis, conjunctivitis due to inhalant allergens and foods, urticaria and angioedema, and in pruritic skin disorders. Unlike other antihistamines, it is also a seratonin receptor antagonist, making it useful in conditions such as vascular headache and anorexia.

Serotonin Syndrome: An adverse drug interaction characterized by altered mental status, autonomic dysfunction, and neuromuscular abnormalities. It is most frequently caused by use of both serotonin reuptake inhibitors and monoamine oxidase inhibitors, leading to excess serotonin availability in the CNS at the serotonin 1A receptor.

Research Excerpts

ExcerptRelevanceReference
"Cyproheptadine is a serotonin and histamine antagonist that has been suggested as a treatment for serotonin syndrome in case reports."7.91An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. ( Cantrell, LF; Kearney, T; Nguyen, H; Pan, A; Smollin, C, 2019)
"Despite the numerous advantages of linezolid therapy, one disadvantage continuing to hinder its use is the risk of serotonin syndrome when coadministered with other serotonergic agents."7.83Serotonin Syndrome: Prophylactic Treatment With Cyproheptadine. ( Deardorff, OG; Doisy, R; Khan, T; Kulkarni, G; Loehr, C, 2016)
"We describe a case of serotonin syndrome secondary to clozapine withdrawal and concomitant use of citalopram hydrobromide, a phenomenon that has been rarely reported."7.79Serotonin syndrome associated with clozapine withdrawal. ( Burns, JD; Green, DM; Schembri, F; Stevenson, E, 2013)
"The authors report the case of a patient who developed a serotonin syndrome after taking sertraline and metoclopramide."7.70[Serotonin syndrome secondary to the use of sertraline and metoclopramide]. ( Beukinga, I; Nève, P; Vandemergel, X, 2000)
"Serotonin syndrome is a potentially life-threatening condition associated with increased serotonergic activity in the central nervous system."6.72Postoperative Serotonin Syndrome Following Methylene Blue Administration for Vasoplegia After Cardiac Surgery: A Case Report and Review of the Literature. ( Basta, MN, 2021)
"She had a seizure and required sedation and intubation."5.62Two Cases of Serotonin Syndrome After Bupropion Overdose Treated With Cyproheptadine. ( Beau, J; Bolton, TA; Carpenter, JE; Kazzi, Z; Kiernan, EA; Murray, BP; Sayers, J; Wolf, MJ; Yeh, M, 2021)
"Oral terbutaline was begun for hemodynamic improvement."5.56Serotonin Syndrome Following Terbutaline Administration in a Heart Transplant Patient on Multiple Inotropic Agents: A Case Report. ( Maxa, JL, 2020)
"BACKGROUND Serotonin syndrome is a condition characterized predominantly by neuromuscular symptoms and altered thermoregulation in response to serotonergic overtone."5.48Delayed Serotonin Syndrome in the Setting of a Mixed Fluoxetine and Serotonin Antagonist Overdose. ( Lin, CM; Little, K; Reynolds, PM, 2018)
"Citalopram is a very potent and highly selective inhibitor of neuronal serotonin (5-hydroxytryptamine, or 5-HT)."5.34First time, low dose citalopram use-related serotonin syndrome. ( Eraydin, I; Gunduz, A; Hos, U; Kalkan, A; Turedi, S, 2007)
"Despite the numerous advantages of linezolid therapy, one disadvantage continuing to hinder its use is the risk of serotonin syndrome when coadministered with other serotonergic agents."3.83Serotonin Syndrome: Prophylactic Treatment With Cyproheptadine. ( Deardorff, OG; Doisy, R; Khan, T; Kulkarni, G; Loehr, C, 2016)
"We describe a case of serotonin syndrome secondary to clozapine withdrawal and concomitant use of citalopram hydrobromide, a phenomenon that has been rarely reported."3.79Serotonin syndrome associated with clozapine withdrawal. ( Burns, JD; Green, DM; Schembri, F; Stevenson, E, 2013)
"Cyproheptadine is reported to be effective in treating serotonin syndrome."3.72A comparison of the pharmacokinetics of oral and sublingual cyproheptadine. ( Collins, M; Graudins, A; Gunja, N, 2004)
"The authors report the case of a patient who developed a serotonin syndrome after taking sertraline and metoclopramide."3.70[Serotonin syndrome secondary to the use of sertraline and metoclopramide]. ( Beukinga, I; Nève, P; Vandemergel, X, 2000)
"Serotonin syndrome is a potentially life-threatening condition associated with increased serotonergic activity in the central nervous system."2.72Postoperative Serotonin Syndrome Following Methylene Blue Administration for Vasoplegia After Cardiac Surgery: A Case Report and Review of the Literature. ( Basta, MN, 2021)
"She had a seizure and required sedation and intubation."1.62Two Cases of Serotonin Syndrome After Bupropion Overdose Treated With Cyproheptadine. ( Beau, J; Bolton, TA; Carpenter, JE; Kazzi, Z; Kiernan, EA; Murray, BP; Sayers, J; Wolf, MJ; Yeh, M, 2021)
"BACKGROUND Serotonin syndrome is a life-threatening condition that involves overstimulation serotonin receptors, which can be caused by medication overdose, drug-drug interactions, and regular doses of medications."1.56Underlying Serotonin Syndrome, Masked by Community-Acquired Pneumonia and Myocardial Ischemia. ( Arshad, W; Lim, R, 2020)
"Oral terbutaline was begun for hemodynamic improvement."1.56Serotonin Syndrome Following Terbutaline Administration in a Heart Transplant Patient on Multiple Inotropic Agents: A Case Report. ( Maxa, JL, 2020)
"BACKGROUND Serotonin syndrome is a condition characterized predominantly by neuromuscular symptoms and altered thermoregulation in response to serotonergic overtone."1.48Delayed Serotonin Syndrome in the Setting of a Mixed Fluoxetine and Serotonin Antagonist Overdose. ( Lin, CM; Little, K; Reynolds, PM, 2018)
"Serotonin syndrome (SS) and neuroleptic malignant syndrome (NMS) are life-threatening adverse reactions caused by serotonergic antidepressants and neuroleptics, respectively."1.42Serotonin syndrome overlapping with neuroleptic malignant syndrome: A case report and approaches for differentially diagnosing the two syndromes. ( Nisijima, K, 2015)
"Seizures were significantly increased in rats receiving 80% and 120% of citalopram MLD versus controls (p<0."1.38Mechanisms of high-dose citalopram-induced death in a rat model. ( Baud, FJ; Beaune, S; Callebert, J; Juvin, P; Mégarbane, B; Risède, P, 2012)
" However, the neural mechanism by which extracellular 5-HT is elevated to a toxic level for the syndrome remains to be determined."1.35Assessment of 5-hydroxytryptamine efflux in rat brain during a mild, moderate and severe serotonin-toxicity syndrome. ( Huang, X; Krishnamoorthy, S; Ma, Z; Tao, R; Vukovich, NP; Zhang, G, 2009)
"Citalopram is a very potent and highly selective inhibitor of neuronal serotonin (5-hydroxytryptamine, or 5-HT)."1.34First time, low dose citalopram use-related serotonin syndrome. ( Eraydin, I; Gunduz, A; Hos, U; Kalkan, A; Turedi, S, 2007)
"Pretreatment with propranolol (10 mg/kg), a 5-HT(1A) receptor antagonist as well as a beta-blocker, and dantrolene (20 mg/kg), a peripheral muscle relaxant, did not prevent the death of the animals, even though these two drugs suppressed the increase in rectal temperature to some extent."1.31Potent serotonin (5-HT)(2A) receptor antagonists completely prevent the development of hyperthermia in an animal model of the 5-HT syndrome. ( Katoh, S; Nisijima, K; Yoshino, T; Yui, K, 2001)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (6.90)18.2507
2000's10 (34.48)29.6817
2010's12 (41.38)24.3611
2020's5 (17.24)2.80

Authors

AuthorsStudies
Petroianu, GA1
Lim, R1
Arshad, W1
Maxa, JL1
Basta, MN1
Murray, BP1
Carpenter, JE1
Sayers, J1
Yeh, M1
Beau, J1
Kiernan, EA1
Wolf, MJ1
Bolton, TA1
Kazzi, Z1
Puig-Comas, G1
García-Peláez, M1
Gorgas Torner, MQ1
Pontes García, C1
Little, K1
Lin, CM1
Reynolds, PM1
Nguyen, H1
Pan, A1
Smollin, C1
Cantrell, LF1
Kearney, T1
Bergamini, E1
Peche, S1
Ferguson, W1
Scalzo, A1
Calamur, N1
Stevenson, E1
Schembri, F1
Green, DM1
Burns, JD1
Nisijima, K2
Raguveer, V1
Varshney, A1
D'Ambrosio, JC1
Deardorff, OG1
Khan, T1
Kulkarni, G1
Doisy, R1
Loehr, C1
Isenberg, D1
Wong, SC1
Curtis, JA1
Zhang, G2
Krishnamoorthy, S2
Ma, Z2
Vukovich, NP1
Huang, X1
Tao, R2
Yacoub, HA1
Johnson, WG1
Souayah, N1
Butler, MC1
Di Battista, M1
Warden, M1
Zand, L1
Hoffman, SJ1
Nyman, MA1
Beaune, S1
Callebert, J1
Baud, FJ1
Risède, P1
Juvin, P1
Mégarbane, B1
Yamawaki, S1
Iwamoto, Y1
Baigel, GD1
Gunja, N1
Collins, M1
Graudins, A1
Turedi, S1
Eraydin, I1
Gunduz, A1
Kalkan, A1
Hos, U1
Jenney, C1
Horowitz, BZ2
Mullins, ME2
Vandemergel, X1
Beukinga, I1
Nève, P1
Yoshino, T1
Yui, K1
Katoh, S1
Isbister, GK1

Reviews

3 reviews available for cyproheptadine and Serotonin Syndrome

ArticleYear
Hyperthermia and Serotonin: The Quest for a "Better Cyproheptadine".
    International journal of molecular sciences, 2022, Mar-20, Volume: 23, Issue:6

    Topics: Animals; Antidotes; Cyproheptadine; Hyperthermia; Hyperthermia, Induced; Hypothermia; Serotonin; Ser

2022
Postoperative Serotonin Syndrome Following Methylene Blue Administration for Vasoplegia After Cardiac Surgery: A Case Report and Review of the Literature.
    Seminars in cardiothoracic and vascular anesthesia, 2021, Volume: 25, Issue:1

    Topics: Cardiac Surgical Procedures; Cyproheptadine; Enzyme Inhibitors; Humans; Hypnotics and Sedatives; Lor

2021
[Serotonin syndrome].
    Ryoikibetsu shokogun shirizu, 2003, Issue:38

    Topics: Adrenergic Uptake Inhibitors; Animals; Cyclopropanes; Cyproheptadine; Diagnosis, Differential; Fluvo

2003

Other Studies

26 other studies available for cyproheptadine and Serotonin Syndrome

ArticleYear
Underlying Serotonin Syndrome, Masked by Community-Acquired Pneumonia and Myocardial Ischemia.
    The American journal of case reports, 2020, Jun-06, Volume: 21

    Topics: Aged; Community-Acquired Infections; Cyproheptadine; Humans; Intensive Care Units; Male; Myocardial

2020
Serotonin Syndrome Following Terbutaline Administration in a Heart Transplant Patient on Multiple Inotropic Agents: A Case Report.
    Transplantation proceedings, 2020, Volume: 52, Issue:9

    Topics: Cardiotonic Agents; Cyproheptadine; Drug Interactions; Female; Heart Transplantation; Humans; Middle

2020
Two Cases of Serotonin Syndrome After Bupropion Overdose Treated With Cyproheptadine.
    The Journal of emergency medicine, 2021, Volume: 60, Issue:4

    Topics: Adolescent; Adult; Bupropion; Cyproheptadine; Drug Overdose; Female; Humans; Male; Seizures; Seroton

2021
Serotonin syndrome during a heat wave.
    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias, 2018, Volume: 30, Issue:1

    Topics: Aged; Aged, 80 and over; Antihypertensive Agents; Comorbidity; Cyproheptadine; Diabetes Mellitus, Ty

2018
Delayed Serotonin Syndrome in the Setting of a Mixed Fluoxetine and Serotonin Antagonist Overdose.
    The American journal of case reports, 2018, May-25, Volume: 19

    Topics: Benzodiazepines; Bupropion; Cyproheptadine; Dopamine Uptake Inhibitors; Drug Overdose; Fluoxetine; H

2018
An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System.
    Journal of clinical pharmacy and therapeutics, 2019, Volume: 44, Issue:2

    Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; California; Child; Child, Preschool; Cyproh

2019
Fever and Altered Mental Status in an Adolescent Male With Burkitt Lymphoma.
    Clinical pediatrics, 2019, Volume: 58, Issue:8

    Topics: Adolescent; Burkitt Lymphoma; Confusion; Cyproheptadine; Fever; Humans; Male; Selective Serotonin Re

2019
Serotonin syndrome associated with clozapine withdrawal.
    JAMA neurology, 2013, Volume: 70, Issue:8

    Topics: Benzodiazepines; Citalopram; Clozapine; Cyproheptadine; Female; Humans; Middle Aged; Selective Serot

2013
Serotonin syndrome overlapping with neuroleptic malignant syndrome: A case report and approaches for differentially diagnosing the two syndromes.
    Asian journal of psychiatry, 2015, Volume: 18

    Topics: Antidepressive Agents, Tricyclic; Clinical Decision-Making; Cyproheptadine; Dantrolene; Depressive D

2015
Serotonin Syndrome: Difficult to Diagnose but Critical to Treat.
    Delaware medical journal, 2015, Volume: 87, Issue:11

    Topics: Adult; Antipsychotic Agents; Cyproheptadine; Diagnosis, Differential; Female; Fluoxetine; Humans; Pe

2015
Serotonin Syndrome: Prophylactic Treatment With Cyproheptadine.
    The primary care companion for CNS disorders, 2016, Aug-25, Volume: 18, Issue:4

    Topics: Adult; Anti-Bacterial Agents; Cyproheptadine; Drug Interactions; Humans; Linezolid; Male; Osteomyeli

2016
Serotonin syndrome triggered by a single dose of suboxone.
    The American journal of emergency medicine, 2008, Volume: 26, Issue:7

    Topics: Buprenorphine; Buprenorphine, Naloxone Drug Combination; Cyproheptadine; Humans; Male; Middle Aged;

2008
Assessment of 5-hydroxytryptamine efflux in rat brain during a mild, moderate and severe serotonin-toxicity syndrome.
    European journal of pharmacology, 2009, Aug-01, Volume: 615, Issue:1-3

    Topics: 5-Hydroxytryptophan; Animals; Antidepressive Agents; Body Temperature; Clorgyline; Cyproheptadine; D

2009
Serotonin syndrome after administration of milnacipran for fibromyalgia.
    Neurology, 2010, Feb-23, Volume: 74, Issue:8

    Topics: Aged; Cyclopropanes; Cyproheptadine; Fibromyalgia; Humans; Male; Milnacipran; Selective Serotonin Re

2010
Sertraline-induced serotonin syndrome followed by mirtazapine reaction.
    Progress in neuro-psychopharmacology & biological psychiatry, 2010, Aug-16, Volume: 34, Issue:6

    Topics: Adult; Antidepressive Agents; Cyproheptadine; Depressive Disorder, Major; Humans; Male; Mianserin; M

2010
74-year-old woman with new-onset myoclonus.
    Mayo Clinic proceedings, 2010, Volume: 85, Issue:10

    Topics: Aged; Alzheimer Disease; Cyproheptadine; Diagnosis, Differential; Dopamine Antagonists; Dose-Respons

2010
Mechanisms of high-dose citalopram-induced death in a rat model.
    Toxicology, 2012, Dec-16, Volume: 302, Issue:2-3

    Topics: Animals; Body Temperature; Citalopram; Cyproheptadine; Diazepam; Dose-Response Relationship, Drug; L

2012
Cyproheptadine and the treatment of an unconscious patient with the serotonin syndrome.
    European journal of anaesthesiology, 2003, Volume: 20, Issue:7

    Topics: Cyproheptadine; Diagnosis, Differential; Female; Humans; Middle Aged; Serotonin Antagonists; Seroton

2003
A comparison of the pharmacokinetics of oral and sublingual cyproheptadine.
    Journal of toxicology. Clinical toxicology, 2004, Volume: 42, Issue:1

    Topics: Administration, Oral; Administration, Sublingual; Adolescent; Adult; Area Under Curve; Chromatograph

2004
First time, low dose citalopram use-related serotonin syndrome.
    Neurotoxicology, 2007, Volume: 28, Issue:6

    Topics: Adult; Antidepressive Agents, Second-Generation; Citalopram; Confusion; Cyproheptadine; Fever; Fluid

2007
Characterization of serotonin-toxicity syndrome (toxidrome) elicited by 5-hydroxy-l-tryptophan in clorgyline-pretreated rats.
    European journal of pharmacology, 2008, Jul-07, Volume: 588, Issue:2-3

    Topics: 5-Hydroxytryptophan; Animals; Body Temperature; Clorgyline; Cyproheptadine; Dizocilpine Maleate; Dos

2008
Cyproheptadine for serotonin syndrome in an accidental pediatric sertraline ingestion.
    Pediatric emergency care, 1999, Volume: 15, Issue:5

    Topics: Child, Preschool; Cyproheptadine; Drug Overdose; Female; Humans; Selective Serotonin Reuptake Inhibi

1999
Serotonin syndrome after a single dose of fluvoxamine.
    Annals of emergency medicine, 1999, Volume: 34, Issue:6

    Topics: Adolescent; Anti-Anxiety Agents; Cyproheptadine; Female; Fluvoxamine; Humans; Selective Serotonin Re

1999
[Serotonin syndrome secondary to the use of sertraline and metoclopramide].
    Revue medicale de Bruxelles, 2000, Volume: 21, Issue:3

    Topics: Adult; Antiemetics; Cyproheptadine; Drug Combinations; Humans; Male; Metoclopramide; Selective Serot

2000
Potent serotonin (5-HT)(2A) receptor antagonists completely prevent the development of hyperthermia in an animal model of the 5-HT syndrome.
    Brain research, 2001, Jan-26, Volume: 890, Issue:1

    Topics: 5-Hydroxytryptophan; Animals; Anterior Hypothalamic Nucleus; Antidepressive Agents; Body Temperature

2001
Comment: serotonin syndrome, mydriasis, and cyproheptadine.
    The Annals of pharmacotherapy, 2001, Volume: 35, Issue:12

    Topics: Cyproheptadine; Humans; Mydriasis; Reproducibility of Results; Serotonin Antagonists; Serotonin Synd

2001