Can fluoxetine alone cause serotonin syndrome in adolescents?
OBJECTIVE
Serotonin syndrome is usually reported by the use of a combination of drugs. This is a possible case of serotonin syndrome after using Fluoxetine.


METHODS
This is a case report of serotonin syndrome in an adolescent patient during treatment of depression with the medications. Subsequently, he developed headache, hyperhydrosis (diaphoresis), flushing, shaking, nausea, and vomiting, slurred speech (scanning speech), anxiety, restlessness, agitation, confusion, hallucination, and insomnia. Serotonin syndrome is suggested as one of the most probable diagnosis.


CONCLUSIONS
Clinicians treating adolescents should be aware of the potential for serotonin syndrome.
Ghanizadeh
Ahmad
A
Shiraz University of Medical Sciences, Hafez Hospital, Shiraz, Iran. ghanizad@sina.tums.ac.ir
Ghanizadeh
Mohammadjavad
M
Seifoori
Masoomah
M
D000293:Adolescent; D005473:Fluoxetine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D020230:Serotonin Syndrome / Q000139:chemically induced*; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects*
D005473:Fluoxetine; D017367:Selective Serotonin Reuptake Inhibitors