TY - JOUR PY - 2006// TI - [The serotonin syndrome. Fatal course of intoxication with citalopram and moclobemide] JO - Anaesthesist, Der A1 - Cassens, S. A1 - Nickel, E. A. A1 - Quintel, M. A1 - Neumann, P. SP - 1189 EP - 1196 VL - 55 IS - 11 N2 - The serotonin syndrome is caused by a drug-induced increase of the intrasynaptic serotonin concentration. Milder forms of the syndrome may be difficult to diagnose because of the variability of symptoms. Severe forms often rapidly turn into a life-threatening situation, therefore the serotonin syndrome may be a challenge for physicians. We describe the pathophysiology and therapeutic options of the serotonin syndrome and report about a 42-year-old female patient who ingested large amounts of moclobemide, a monoamine oxidase inhibitor, and citalopram, a selective serotonin reuptake inhibitor, for attempted suicide. Within a few hours the patient developed a lethal serotonin syndrome although ICU therapy was initiated immediately.

Language: de

LA - de SN - 0003-2417 UR - http://dx.doi.org/10.1007/s00101-006-1089-1 ID - ref1 ER -