Myelosuppression and Serotonin Syndrome Associated with Concurrent Use of Linezolid and Selective Serotonin Reuptake Inhibitors in Bone Marrow Transplant Recipients
Author(s) -
Ray Hachem,
Krystal Hicks,
Auris Huen,
Issam Raad
Publication year - 2003
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/375689
Subject(s) - medicine , serotonin syndrome , linezolid , serotonin reuptake inhibitor , serotonin , serotonin uptake inhibitors , bone marrow transplant , bone marrow , serotonergic , bone marrow transplantation , vancomycin , fluoxetine , receptor , biology , bacteria , genetics , staphylococcus aureus
We report 2 cases of serotonin syndrome and myelosuppression in bone marrow transplant recipients who received linezolid in combination with a selective serotonin reuptake inhibitor (SSRI). Given the risks to patients in this high-risk group, we recommend that this combination of medications be avoided if alternative antibiotic therapy is possible. If no alternative therapy is possible, prescribers should discontinue SSRI therapy and monitor these patients closely for evidence of serotonin syndrome or the development of hematological toxicity.
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