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Journal of Accident & Emergency Medicine 1999;16:293-295; doi:10.1136/emj.16.4.293
© 1999 BMJ Publishing Group Ltd and the College of Emergency Medicine.

Serotonin syndrome caused by overdose with paroxetine and moclobemide.

C R FitzSimmons, S Metha

Accident and Emergency Department, Northern General Hospital, Sheffield.

Well known clinical syndromes can be produced by overdose with more commonly ingested substances such as opiates or tricyclic antidepressants. A case of a much more unusual syndrome presenting to the accident and emergency department resulting from overdose with a combination of tablets is reported. The clinical presentation of serotonin syndrome and its management are described. This resulted from acute ingestion of paroxetine, a selective serotonin reuptake inhibitor, and moclobemide, a monoamine oxidase inhibitor.


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