Page last updated: 2024-10-27

fentanyl and Serotonin Syndrome

fentanyl has been researched along with Serotonin Syndrome in 19 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

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
"Emerging evidence from case reports suggests that fentanyl may precipitate potentially life-threatening serotonin syndrome in patients taking serotonergic drugs."7.83Effects of fentanyl on serotonin syndrome-like behaviors in rats. ( Kaminaga, S; Kawano, T; Kitamura, S; Locatelli, FM; Tateiwa, H; Yamanaka, D; Yokoyama, M, 2016)
" Although this article focuses on serotonin syndrome as a result of an adverse interaction of selective serotonin reuptake inhibitors (SSRI) and fentanyl, it is important for not only anesthesia professionals, but all clinicians--such as those in emergency medicine and critical care--to be aware of this syndrome and its management."7.80Serotonin syndrome: fentanyl and selective serotonin reuptake inhibitor interactions. ( Greenier, E; Lukyanova, V; Reede, L, 2014)
"To report a case of serotonin syndrome associated with interaction between fentanyl and citalopram, as evidenced by medication history, clinical features and reversal following discontinuation of fentanyl."7.74Serotonin syndrome caused by interaction between citalopram and fentanyl. ( Ailawadhi, S; Baer, MR; Carlson, LA; Sung, KW, 2007)
"On emergence, she had convulsions and was nonresponsive."5.91Fentanyl-Induced Serotonin Syndrome 5 Days After Cessation of Serotonergic Agents: A Case Report. ( Agrawal, S; Sekhri, N; Siddiqui, A, 2023)
"Serotonin syndrome is a syndrome identified by a triad of altered mental status, neuromuscular overactivity, and autonomic instability caused by the overstimulation of serotonin in the central nervous system and periphery."5.42Serotonin syndrome caused by fentanyl and methadone in a burn injury. ( Gala, G; Hillman, AD; Sultan, SM; Witenko, CJ, 2015)
"We report a case of serotonin syndrome developed shortly after the initiation of linezolid in a 63-year-old patient in whom selective serotonin reuptake inhibitor therapy was discontinued for the duration of antibiotic therapy."3.96Linezolid and fentanyl: An underrecognized drug-to-drug interaction. ( Abu Saleh, O; Barth, D; Corsini Campioli, C; Esquer Garrigos, Z; Sia, IG; Sohail, RM, 2020)
"Even small doses of fentanyl administered to patients taking multiple serotonergic medications and herbal supplements may trigger serotonin syndrome."3.85Serotonergic medications, herbal supplements, and perioperative serotonin syndrome. ( Naranjo, J; Pollard, EM; Sprung, J; Warner, MA; Warner, ME; Weingarten, TN, 2017)
"Emerging evidence from case reports suggests that fentanyl may precipitate potentially life-threatening serotonin syndrome in patients taking serotonergic drugs."3.83Effects of fentanyl on serotonin syndrome-like behaviors in rats. ( Kaminaga, S; Kawano, T; Kitamura, S; Locatelli, FM; Tateiwa, H; Yamanaka, D; Yokoyama, M, 2016)
" Although this article focuses on serotonin syndrome as a result of an adverse interaction of selective serotonin reuptake inhibitors (SSRI) and fentanyl, it is important for not only anesthesia professionals, but all clinicians--such as those in emergency medicine and critical care--to be aware of this syndrome and its management."3.80Serotonin syndrome: fentanyl and selective serotonin reuptake inhibitor interactions. ( Greenier, E; Lukyanova, V; Reede, L, 2014)
"We report a case of serotonin syndrome caused by interaction between nasal fentanyl, oxycodone and escitalopram."3.76[Serotoninergic antidepressants and opiate analgesics: a sometimes-painful association. A case report]. ( Lefebvre-Kuntz, D; Reich, M, 2010)
"To report a case of serotonin syndrome associated with interaction between fentanyl and citalopram, as evidenced by medication history, clinical features and reversal following discontinuation of fentanyl."3.74Serotonin syndrome caused by interaction between citalopram and fentanyl. ( Ailawadhi, S; Baer, MR; Carlson, LA; Sung, KW, 2007)
"On emergence, she had convulsions and was nonresponsive."1.91Fentanyl-Induced Serotonin Syndrome 5 Days After Cessation of Serotonergic Agents: A Case Report. ( Agrawal, S; Sekhri, N; Siddiqui, A, 2023)
"Serotonin syndrome is a syndrome identified by a triad of altered mental status, neuromuscular overactivity, and autonomic instability caused by the overstimulation of serotonin in the central nervous system and periphery."1.42Serotonin syndrome caused by fentanyl and methadone in a burn injury. ( Gala, G; Hillman, AD; Sultan, SM; Witenko, CJ, 2015)
"Fentanyl was administered for intraoperative and postoperative analgesia (1 mg intraoperatively, and 2."1.35Serotonin toxicity caused by an interaction between fentanyl and paroxetine. ( Field, J; Irving, C; Rang, ST, 2008)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (26.32)29.6817
2010's11 (57.89)24.3611
2020's3 (15.79)2.80

Authors

AuthorsStudies
Siddiqui, A1
Agrawal, S1
Sekhri, N1
Al-Khalil, M1
Sack, A1
Elson, R1
Pleat, J1
Corsini Campioli, C1
Barth, D1
Esquer Garrigos, Z1
Abu Saleh, O1
Sohail, RM1
Sia, IG1
Warner, ME1
Naranjo, J1
Pollard, EM1
Weingarten, TN2
Warner, MA1
Sprung, J2
Larson, KJ1
Wittwer, ED1
Nicholson, WT1
Price, DL1
Hillman, AD1
Witenko, CJ1
Sultan, SM1
Gala, G2
Greenier, E1
Lukyanova, V1
Reede, L1
Atkinson, TJ1
Fudin, J1
Pham, TC1
Hillman, A1
Witenko, C1
Sultan, S1
Kitamura, S1
Kawano, T1
Kaminaga, S1
Yamanaka, D1
Tateiwa, H1
Locatelli, FM1
Yokoyama, M1
Rang, ST1
Field, J1
Irving, C1
Kirschner, R1
Donovan, JW1
Alkhatib, AA1
Peterson, KA1
Tuteja, AK1
Reich, M1
Lefebvre-Kuntz, D1
Rastogi, R1
Swarm, RA1
Patel, TA1
Gollapudy, S1
Kumar, V1
Dhamee, MS1
Ailawadhi, S1
Sung, KW1
Carlson, LA1
Baer, MR1
Ozkardesler, S1
Gurpinar, T1
Akan, M1
Koca, U1
Sarikaya, H1
Olmez, T1
Elar, Z1
Chambost, M1
Liron, L1
Peillon, D1
Combe, C1
Giese, SY1
Neborsky, R1

Reviews

1 review available for fentanyl and Serotonin Syndrome

ArticleYear
Case scenario: opioid association with serotonin syndrome: implications to the practitioners.
    Anesthesiology, 2011, Volume: 115, Issue:6

    Topics: Analgesics, Opioid; Antidepressive Agents, Tricyclic; Celecoxib; Chronic Pain; Cyclooxygenase 2 Inhi

2011

Other Studies

18 other studies available for fentanyl and Serotonin Syndrome

ArticleYear
Fentanyl-Induced Serotonin Syndrome 5 Days After Cessation of Serotonergic Agents: A Case Report.
    A&A practice, 2023, Nov-01, Volume: 17, Issue:11

    Topics: Adult; Drug Overdose; Female; Fentanyl; Humans; Seizures; Serotonin Agents; Serotonin Syndrome; Youn

2023
A 5-year single-centre retrospective study of potential drug interactions in burns inpatients with psychiatric comorbidities.
    Burns : journal of the International Society for Burn Injuries, 2020, Volume: 46, Issue:5

    Topics: Adult; Analgesics, Opioid; Antidepressive Agents; Arrhythmias, Cardiac; Burns; Comorbidity; Drug Int

2020
Linezolid and fentanyl: An underrecognized drug-to-drug interaction.
    Journal of clinical pharmacy and therapeutics, 2020, Volume: 45, Issue:4

    Topics: Drug Interactions; Female; Fentanyl; Humans; Linezolid; Middle Aged; Serotonin Syndrome

2020
Serotonergic medications, herbal supplements, and perioperative serotonin syndrome.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2017, Volume: 64, Issue:9

    Topics: Aged; Curcuma; Dietary Supplements; Drug Interactions; Fentanyl; Fluoxetine; Humans; Male; Midazolam

2017
Myoclonus in patient on fluoxetine after receiving fentanyl and low-dose methylene blue during sentinel lymph node biopsy.
    Journal of clinical anesthesia, 2015, Volume: 27, Issue:3

    Topics: Drug Interactions; Fentanyl; Fluoxetine; Humans; Male; Methylene Blue; Middle Aged; Myoclonus; Senti

2015
Serotonin syndrome caused by fentanyl and methadone in a burn injury.
    Pharmacotherapy, 2015, Volume: 35, Issue:1

    Topics: Adult; Analgesics, Opioid; Burns; Drug Interactions; Drug Therapy, Combination; Fentanyl; Humans; Ma

2015
Serotonin syndrome: fentanyl and selective serotonin reuptake inhibitor interactions.
    AANA journal, 2014, Volume: 82, Issue:5

    Topics: Adult; Anesthesia; Back Pain; Carpal Tunnel Syndrome; Depression; Drug Interactions; Female; Fentany

2014
Combined fentanyl and methadone induced serotonin syndrome is called into question.
    Pharmacotherapy, 2015, Volume: 35, Issue:6

    Topics: Analgesics, Opioid; Burns; Fentanyl; Humans; Male; Methadone; Serotonin Syndrome

2015
Effects of fentanyl on serotonin syndrome-like behaviors in rats.
    Journal of anesthesia, 2016, Volume: 30, Issue:1

    Topics: 8-Hydroxy-2-(di-n-propylamino)tetralin; Animals; Fentanyl; Male; Motor Activity; Rats; Rats, Sprague

2016
Serotonin toxicity caused by an interaction between fentanyl and paroxetine.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2008, Volume: 55, Issue:8

    Topics: Analgesics, Opioid; Drug Interactions; Drug Therapy, Combination; Female; Fentanyl; Humans; Middle A

2008
Serotonin syndrome precipitated by fentanyl during procedural sedation.
    The Journal of emergency medicine, 2010, Volume: 38, Issue:4

    Topics: Conscious Sedation; Emergency Service, Hospital; Female; Fentanyl; Humans; Hypnotics and Sedatives;

2010
Serotonin syndrome as a complication of fentanyl sedation during esophagogastroduodenoscopy.
    Digestive diseases and sciences, 2010, Volume: 55, Issue:1

    Topics: Adult; Analgesics, Opioid; Conscious Sedation; Endoscopy, Digestive System; Female; Fentanyl; Humans

2010
[Serotoninergic antidepressants and opiate analgesics: a sometimes-painful association. A case report].
    L'Encephale, 2010, Volume: 36 Suppl 2

    Topics: Adenocarcinoma; Administration, Intranasal; Administration, Oral; Aged; Analgesics, Opioid; Antidepr

2010
A case of serotonin syndrome precipitated by fentanyl and ondansetron in a patient receiving paroxetine, duloxetine, and bupropion.
    Journal of clinical anesthesia, 2012, Volume: 24, Issue:3

    Topics: Aged; Analgesics, Opioid; Anesthesia, General; Bupropion; Drug Therapy, Combination; Duloxetine Hydr

2012
Serotonin syndrome caused by interaction between citalopram and fentanyl.
    Journal of clinical pharmacy and therapeutics, 2007, Volume: 32, Issue:2

    Topics: Aged; Citalopram; Drug Interactions; Drug Therapy, Combination; Fentanyl; Humans; Myelodysplastic Sy

2007
A possible perianesthetic serotonin syndrome related to intrathecal fentanyl.
    Journal of clinical anesthesia, 2008, Volume: 20, Issue:2

    Topics: Adult; Analgesics, Opioid; Ephedrine; Ergot Alkaloids; Fentanyl; Humans; Injections, Spinal; Male; M

2008
[Serotonin syndrome during fluoxetine poisoning in a patient taking moclobemide].
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2000, Volume: 47, Issue:3

    Topics: Adult; Anesthetics, Intravenous; Anti-Anxiety Agents; Antidepressive Agents; Antidepressive Agents,

2000
Serotonin syndrome: potential consequences of Meridia combined with Demerol or fentanyl.
    Plastic and reconstructive surgery, 2001, Volume: 107, Issue:1

    Topics: Analgesics, Opioid; Antidepressive Agents; Appetite Depressants; Cyclobutanes; Drug Interactions; Fe

2001