An Unusual Case of Serotonin Syndrome with Oxycodone and Citalopram | Zendy

Clare Walter | Zendy; David Ball | Zendy; Mary E. Duffy | Zendy; James D Mellor | Zendy

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An Unusual Case of Serotonin Syndrome with Oxycodone and Citalopram

Author(s) -

Clare Walter,

David Ball,

Mary E. Duffy,

James D Mellor

Publication year - 2012

Publication title -

case reports in oncological medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.173

H-Index - 7

eISSN - 2090-6714

pISSN - 2090-6706

DOI - 10.1155/2012/261787

Subject(s) - citalopram , oxycodone , medicine , serotonin syndrome , pharmacist , past medical history , confusion , weakness , medical history , outpatient clinic , anesthesia , pharmacy , pediatrics , serotonin , surgery , psychology , opioid , nursing , receptor , serotonergic , psychoanalysis

A 77-year-old female with recurrent non-small-cell lung cancer presented to a hospital outpatient clinic with tremor, weakness, inability to coordinate motor movements, and confusion. It was suspected that the symptoms were due to possible central nervous system metastases; however, a CT scan of her head was unremarkable. The lung clinic liaison pharmacist took a medication history from the patient, complimented by extra information from the patient's community pharmacy. The pharmacist suspected the rare side effect of serotonin syndrome was responsible for the patient's presenting symptoms caused by the combination of oxycodone and citalopram. The patient's symptoms resolved soon after oxycodone was changed to morphine.

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