Page last updated: 2024-10-27

fluoxetine and Serotonin Syndrome

fluoxetine has been researched along with Serotonin Syndrome in 44 studies

Fluoxetine: The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.
fluoxetine : A racemate comprising equimolar amounts of (R)- and (S)-fluoxetine. A selective serotonin reuptake inhibitor (SSRI), it is used (generally as the hydrochloride salt) for the treatment of depression (and the depressive phase of bipolar disorder), bullimia nervosa, and obsessive-compulsive disorder.
N-methyl-3-phenyl-3-[4-(trifluoromethyl)phenoxy]propan-1-amine : An aromatic ether consisting of 4-trifluoromethylphenol in which the hydrogen of the phenolic hydroxy group is replaced by a 3-(methylamino)-1-phenylpropyl group.

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
"A patient who manifested signs of serotonin syndrome during an intravenous anesthetic with remifentanil and propofol is presented."7.79Serotonin syndrome manifesting as patient movement during total intravenous anesthesia with propofol and remifentanil. ( Buck, NS; Davis, JJ; Greis, PE; Johnson, KB; Swenson, JD, 2013)
"This case report describes a patient with treatment-resistant depression treated with fluoxetine and olanzapine who developed serotonin syndrome."7.72Serotonin syndrome associated with fluoxetine and olanzapine. ( Chopra, P; Ng, C; Schweitzer, I, 2004)
"To describe a patient who developed serotonin syndrome on four separate occasions as a result of monotherapy with two different selective serotonin receptor inhibitors (fluoxetine and cetalopram)."7.71Serotonin syndrome presenting as hypotonic coma and apnea: potentially fatal complications of selective serotonin receptor inhibitor therapy. ( Chechani, V, 2002)
"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)
"He had a generalised tonic/clonic seizure at 6 hours postingestion."5.48Fluoxetine overdose in a teenager resulting in serotonin syndrome, seizure and delayed onset rhabdomyolysis. ( Lee-Kelland, R; Mappa, P; Zehra, S, 2018)
"Serotonin syndrome is usually reported by the use of a combination of drugs."5.35Can fluoxetine alone cause serotonin syndrome in adolescents? ( Ghanizadeh, A; Ghanizadeh, M; Seifoori, M, 2008)
"We report here the case of a patient with fluoxetine and selegiline induced serotonin syndrome, which presented as encephalopathy, generalized myoclonias, fever, stiffness and sweating, complicated with acute renal failure, rhabdomyolysis and disseminated intravascular coagulation findings."4.81[Serotonin syndrome: report of a fatal case and review of the literature]. ( Bilbao Garay, J; Castilla Castellano, V; Dhimes Tejada, P; Mesa Plaza, N, 2002)
"A 21-year-old female with a history of generalized anxiety disorder and major depression presented with increased depressive symptoms over several months while taking fluoxetine 20 mg daily."3.96A Case Report of Serotonin Syndrome in a Patient on Selective Serotonin Reuptake Inhibitor (SSRI) Monotherapy. ( Blake, CS; Hudd, TR; Nguyen, TT; Rimola-Dejesus, Y; Zaiken, K, 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)
"A patient who manifested signs of serotonin syndrome during an intravenous anesthetic with remifentanil and propofol is presented."3.79Serotonin syndrome manifesting as patient movement during total intravenous anesthesia with propofol and remifentanil. ( Buck, NS; Davis, JJ; Greis, PE; Johnson, KB; Swenson, JD, 2013)
" Her mother had been taking fluoxetine (20 mg daily) during the second and third trimesters of her pregnancy."3.74Prolonged neonatal complications after in utero exposure to fluoxetine. ( Alehan, F; Gürakan, B; Saygi, S; Tarcan, A, 2008)
"This study investigated whether rasagiline and selegiline (MAO-B inhibitors) induce serotonin syndrome in fluoxetine-treated rats."3.74Differential behavioral syndrome evoked in the rats after multiple doses of SSRI fluoxetine with selective MAO inhibitors rasagiline or selegiline. ( Blaugrund, E; Cohen, S; Eliash, S; Fine, T; Litinetsky, L; Speiser, Z, 2008)
"To describe a patient who developed serotonin syndrome on four separate occasions as a result of monotherapy with two different selective serotonin receptor inhibitors (fluoxetine and cetalopram)."3.71Serotonin syndrome presenting as hypotonic coma and apnea: potentially fatal complications of selective serotonin receptor inhibitor therapy. ( Chechani, V, 2002)
"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)
"He had a generalised tonic/clonic seizure at 6 hours postingestion."1.48Fluoxetine overdose in a teenager resulting in serotonin syndrome, seizure and delayed onset rhabdomyolysis. ( Lee-Kelland, R; Mappa, P; Zehra, S, 2018)
"Serotonin syndrome is a potential side effect of some psychotropic medications in common use today."1.36Serotonin syndrome in the deployed setting. ( Jensen, J; Lawyer, TI; Welton, RS, 2010)

Research

Studies (44)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (9.09)18.2507
2000's23 (52.27)29.6817
2010's14 (31.82)24.3611
2020's3 (6.82)2.80

Authors

AuthorsStudies
McKeirnan, KC1
Vaitla, K1
Gilbert, R1
Anderson, CB1
Undeberg, MR1
Pande, CK1
O'Halloran, A1
Stewart, RW1
Nguyen, A1
Canares, T1
Christodoulos, IN1
Chyou, TY1
Nishtala, PS1
Warner, ME1
Naranjo, J1
Pollard, EM1
Weingarten, TN2
Warner, MA1
Sprung, J2
Little, K1
Lin, CM1
Reynolds, PM1
Lee-Kelland, R1
Zehra, S1
Mappa, P1
Hudd, TR1
Blake, CS1
Rimola-Dejesus, Y1
Nguyen, TT1
Zaiken, K1
Haberzettl, R1
Fink, H1
Bert, B1
Larson, KJ1
Wittwer, ED1
Nicholson, WT1
Price, DL1
Morris, R1
Matthes, J1
Adler, AR1
Charnin, JA1
Quraishi, SA1
Raguveer, V1
Varshney, A1
D'Ambrosio, JC1
Rosenbaum, HK1
Gillman, PK2
Alehan, F1
Saygi, S1
Tarcan, A1
Gürakan, B1
Ghanizadeh, A1
Ghanizadeh, M1
Seifoori, M1
Liu, PT1
Argento, V1
Skudlarska, B1
Blagodatny, M1
Lawyer, TI1
Jensen, J1
Welton, RS1
Rittmannsberger, H1
Werl, R1
Shioda, K2
Nisijima, K2
Kasai, M1
Yoshino, T2
Kato, S2
Davis, JJ1
Buck, NS1
Swenson, JD1
Johnson, KB1
Greis, PE1
Lange-Asschenfeldt, C1
Weigmann, H1
Hiemke, C1
Mann, K1
Tissot, TA1
Birmes, P1
Coppin, D1
Schmitt, L1
Lauque, D1
Finfgeld, DL1
Chopra, P1
Ng, C1
Schweitzer, I1
Thomas, CR1
Rosenberg, M1
Blythe, V1
Meyer, WJ1
Speiser, Z1
Fine, T1
Litinetsky, L1
Eliash, S1
Blaugrund, E1
Cohen, S1
Bonetto, N1
Santelli, L1
Battistin, L1
Cagnin, A1
Chirwa, I1
Savage, M1
Sarwar, A1
Norris, A1
Evans, RW1
Benazzi, F1
Lu, ML1
Lane, HY1
Chang, WH1
Shuster, J1
Kesavan, S1
Sobala, GM1
Chambost, M1
Liron, L1
Peillon, D1
Combe, C1
Smith, DL1
Wenegrat, BG1
Borsini, F1
Brambilla, A1
Cesana, R1
Grippa, N1
Gonzalez-Pinto, A1
Imaz, H1
De Heredia, JL1
Gutierrez, M1
Micó, JA1
DeSilva, KE1
Le Flore, DB1
Marston, BJ1
Rimland, D1
Chechani, V1
Bilbao Garay, J1
Mesa Plaza, N1
Castilla Castellano, V1
Dhimes Tejada, P1

Reviews

4 reviews available for fluoxetine and Serotonin Syndrome

ArticleYear
Hypothermia as a Possible Symptom of Serotonin Toxicity: A Case Report.
    The Senior care pharmacist, 2023, Jun-01, Volume: 38, Issue:6

    Topics: Fluoxetine; Humans; Hypothermia; Selective Serotonin Reuptake Inhibitors; Serotonin; Serotonin Syndr

2023
Serotonin syndrome: a brief review.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2003, May-27, Volume: 168, Issue:11

    Topics: Antidepressive Agents, Second-Generation; Citalopram; Diagnosis, Differential; Female; Fluid Therapy

2003
Serotonin syndrome and the use of SSRIs.
    Journal of psychosocial nursing and mental health services, 2004, Volume: 42, Issue:2

    Topics: Adult; Antidepressive Agents, Second-Generation; Depressive Disorder; Drug Therapy, Combination; Fem

2004
[Serotonin syndrome: report of a fatal case and review of the literature].
    Revista clinica espanola, 2002, Volume: 202, Issue:4

    Topics: Aged; Antiparkinson Agents; Carbidopa; Depressive Disorder, Major; Drug Combinations; Drug Synergism

2002

Other Studies

40 other studies available for fluoxetine and Serotonin Syndrome

ArticleYear
Case 2: Agitation and Abnormal Movements in a 14-year-old Boy.
    Pediatrics in review, 2019, Volume: 40, Issue:10

    Topics: Adolescent; Dopamine Uptake Inhibitors; Dyskinesias; Fluoxetine; Humans; Lisdexamfetamine Dimesylate

2019
Safety of fluoxetine use in children and adolescents: a disproportionality analysis of the Food and Drug Administration Adverse Event Reporting System (FAERS) database.
    European journal of clinical pharmacology, 2020, Volume: 76, Issue:12

    Topics: Adolescent; Adverse Drug Reaction Reporting Systems; Antidepressive Agents, Second-Generation; Anxie

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
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
Fluoxetine overdose in a teenager resulting in serotonin syndrome, seizure and delayed onset rhabdomyolysis.
    BMJ case reports, 2018, Oct-08, Volume: 2018

    Topics: Adolescent; Depressive Disorder; Diagnosis, Differential; Drug Overdose; Fluoxetine; Humans; Male; R

2018
A Case Report of Serotonin Syndrome in a Patient on Selective Serotonin Reuptake Inhibitor (SSRI) Monotherapy.
    Journal of pharmacy practice, 2020, Volume: 33, Issue:2

    Topics: Anxiety; Depressive Disorder, Major; Female; Fluoxetine; Humans; Hydroxyzine; Paroxetine; Selective

2020
The murine serotonin syndrome - evaluation of responses to 5-HT-enhancing drugs in NMRI mice.
    Behavioural brain research, 2015, Jan-15, Volume: 277

    Topics: Animals; Behavior, Animal; Disease Models, Animal; Fluoxetine; Male; Mice; Selective Serotonin Reupt

2015
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 in a breast-fed neonate.
    BMJ case reports, 2015, May-06, Volume: 2015

    Topics: Adult; Bottle Feeding; Breast Feeding; Depressive Disorder; Female; Fluoxetine; Humans; Infant, Newb

2015
Serotonin Syndrome: The Potential for a Severe Reaction Between Common Perioperative Medications and Selective Serotonin Reuptake Inhibitors.
    A & A case reports, 2015, Nov-01, Volume: 5, Issue:9

    Topics: Adult; Anesthesia; Drug Interactions; Fluoxetine; Humans; Male; Selective Serotonin Reuptake Inhibit

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
Patient Safety and Methylene Blue-Associated Severe Serotonin Toxicity.
    A & A case reports, 2016, Jul-01, Volume: 7, Issue:1

    Topics: Drug Interactions; Fluoxetine; Humans; Methylene Blue; Monoamine Oxidase; Monoamine Oxidase Inhibito

2016
Prolonged neonatal complications after in utero exposure to fluoxetine.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2008, Volume: 21, Issue:12

    Topics: Adult; Diagnosis, Differential; Female; Fluoxetine; Humans; Infant, Newborn; Neonatal Abstinence Syn

2008
Can fluoxetine alone cause serotonin syndrome in adolescents?
    Psychopharmacology bulletin, 2008, Volume: 41, Issue:4

    Topics: Adolescent; Fluoxetine; Humans; Male; Selective Serotonin Reuptake Inhibitors; Serotonin Syndrome

2008
Serotonin syndrome in an octogenarian after switch from fluoxetine to duloxetine.
    Journal of the American Geriatrics Society, 2009, Volume: 57, Issue:12

    Topics: Aged, 80 and over; Duloxetine Hydrochloride; Fluoxetine; Humans; Male; Selective Serotonin Reuptake

2009
Serotonin syndrome in the deployed setting.
    Military medicine, 2010, Volume: 175, Issue:12

    Topics: Adult; Fluoxetine; Humans; Iraq War, 2003-2011; Male; Military Personnel; Selective Serotonin Reupta

2010
Does aripiprazole protect from serotonin syndrome?
    Psychiatria Danubina, 2012, Volume: 24, Issue:1

    Topics: Adult; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Aripiprazole; Borderline Pers

2012
Risperidone attenuates the increase of extracellular nitric oxide and glutamate levels in serotonin syndrome animal models.
    Neuroscience letters, 2012, Oct-18, Volume: 528, Issue:1

    Topics: 5-Hydroxytryptophan; Animals; Brain; Clorgyline; Disease Models, Animal; Fluoxetine; Glutamic Acid;

2012
Serotonin syndrome manifesting as patient movement during total intravenous anesthesia with propofol and remifentanil.
    Journal of clinical anesthesia, 2013, Volume: 25, Issue:1

    Topics: Anesthesia, Intravenous; Anesthetics, Intravenous; Fluoxetine; Humans; Intraoperative Complications;

2013
Serotonin syndrome as a result of fluoxetine in a patient with tramadol abuse: plasma level-correlated symptomatology.
    Journal of clinical psychopharmacology, 2002, Volume: 22, Issue:4

    Topics: Adult; Analgesics, Opioid; Female; Fluoxetine; Humans; Selective Serotonin Reuptake Inhibitors; Sero

2002
Probable meperidine-induced serotonin syndrome in a patient with a history of fluoxetine use.
    Anesthesiology, 2003, Volume: 98, Issue:6

    Topics: Adult; Analgesics, Opioid; Cholangiopancreatography, Endoscopic Retrograde; Diabetes Mellitus, Type

2003
Fluoxetine + hydromorphone: serotonin syndrome?
    Prescrire international, 2004, Volume: 13, Issue:70

    Topics: Drug Interactions; Drug Therapy, Combination; Female; Fluoxetine; France; Humans; Hydromorphone; Nar

2004
Serotonin syndrome associated with fluoxetine and olanzapine.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2004, Volume: 5, Issue:2

    Topics: Benzodiazepines; Fluoxetine; Humans; Male; Middle Aged; Olanzapine; Selective Serotonin Reuptake Inh

2004
Serotonin syndrome and linezolid.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2004, Volume: 43, Issue:7

    Topics: Acetamides; Anti-Infective Agents; Burns; Child, Preschool; Depression; Drug Interactions; Female; F

2004
Extracellular serotonin, dopamine and glutamate levels are elevated in the hypothalamus in a serotonin syndrome animal model induced by tranylcypromine and fluoxetine.
    Progress in neuro-psychopharmacology & biological psychiatry, 2004, Volume: 28, Issue:4

    Topics: Animals; Antidepressive Agents; Biogenic Monoamines; Body Temperature; Dopamine; Extracellular Fluid

2004
Making sense of serotonin toxicity reports, a comment on Chopra et Al. (World J Biol Psychiatry 2004, 5: 114-115).
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2004, Volume: 5, Issue:3

    Topics: Benzodiazepines; Fluoxetine; Humans; Olanzapine; Selective Serotonin Reuptake Inhibitors; Serotonin

2004
Differential behavioral syndrome evoked in the rats after multiple doses of SSRI fluoxetine with selective MAO inhibitors rasagiline or selegiline.
    Journal of neural transmission (Vienna, Austria : 1996), 2008, Volume: 115, Issue:1

    Topics: Animals; Behavior, Animal; Brain; Drug Therapy, Combination; Fluoxetine; Indans; Male; Methamphetami

2008
Serotonin syndrome and rhabdomyolysis induced by concomitant use of triptans, fluoxetine and hypericum.
    Cephalalgia : an international journal of headache, 2007, Volume: 27, Issue:12

    Topics: Adult; Drug Therapy, Combination; Female; Fluoxetine; Humans; Hypericum; Migraine Disorders; Rhabdom

2007
Serotonin syndrome secondary to fluoxetine precipitated by radiation induced cerebral vasculopathy.
    Clinical medicine (London, England), 2008, Volume: 8, Issue:1

    Topics: Aged; Cerebral Arteries; Endothelium, Vascular; Fluoxetine; Humans; Male; Selective Serotonin Reupta

2008
Triptans and serotonin syndrome.
    Cephalalgia : an international journal of headache, 2008, Volume: 28, Issue:5

    Topics: Adult; Drug Therapy, Combination; Female; Fluoxetine; Humans; Hypericum; Migraine Disorders; Rhabdom

2008
Serotonin syndrome with mirtazapine-fluoxetine combination.
    International journal of geriatric psychiatry, 1998, Volume: 13, Issue:7

    Topics: Adrenergic alpha-Antagonists; Aged; Antidepressive Agents, Tricyclic; Depression; Drug Interactions;

1998
Selective serotonin reuptake inhibitor syndrome: precipitated by concomitant clozapine?
    Journal of clinical psychopharmacology, 1999, Volume: 19, Issue:4

    Topics: Antipsychotic Agents; Clozapine; Dose-Response Relationship, Drug; Drug Therapy, Combination; Fluoxe

1999
Serotonin syndrome alert.
    Nursing, 1999, Volume: 29, Issue:7

    Topics: Fluoxetine; Humans; Male; Middle Aged; Patient Education as Topic; Selective Serotonin Reuptake Inhi

1999
Serotonin syndrome with fluoxetine plus tramadol.
    Journal of the Royal Society of Medicine, 1999, Volume: 92, Issue:9

    Topics: Adult; Analgesics, Opioid; Drug Interactions; Female; Fluoxetine; Humans; Selective Serotonin Reupta

1999
[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
A case report of serotonin syndrome associated with combined nefazodone and fluoxetine.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:2

    Topics: Antidepressive Agents, Second-Generation; Bipolar Disorder; Drug Therapy, Combination; Fluoxetine; H

2000
Lack of interaction between flibanserin and antidepressants in inducing serotonergic syndrome in rats.
    The international journal of neuropsychopharmacology, 2001, Volume: 4, Issue:1

    Topics: 8-Hydroxy-2-(di-n-propylamino)tetralin; Animals; Antidepressive Agents; Antidepressive Agents, Secon

2001
Mania and tramadol-fluoxetine combination.
    The American journal of psychiatry, 2001, Volume: 158, Issue:6

    Topics: Aged; Analgesics, Opioid; Bipolar Disorder; Depressive Disorder; Drug Therapy, Combination; Female;

2001
Serotonin syndrome in HIV-infected individuals receiving antiretroviral therapy and fluoxetine.
    AIDS (London, England), 2001, Jul-06, Volume: 15, Issue:10

    Topics: Adult; Anti-HIV Agents; Antidepressive Agents, Second-Generation; Cytochrome P-450 Enzyme System; De

2001
Serotonin syndrome presenting as hypotonic coma and apnea: potentially fatal complications of selective serotonin receptor inhibitor therapy.
    Critical care medicine, 2002, Volume: 30, Issue:2

    Topics: Adult; Apnea; Coma; Female; Fluoxetine; Humans; Serotonin Receptor Agonists; Serotonin Syndrome

2002