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Serotonin Syndrome Explained (Serotonin Toxicity)

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  • čas přidán 7. 08. 2024
  • Serotonin syndrome, also known as serotonin toxicity is a potential life threatening condition due to excessive serotonin levels in the body. In this video we look at the symptoms, diagnosis including Hunter Serotonin Toxicity Criteria and treatment.
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    Video Timestamps:
    0:00 What is Serotonin Syndrome?
    0:25 Serotonin Syndrome Pathophysiology
    2:03 Serotonin Syndrome Symptoms
    3:26 Serotonin Syndrome Risk Factors
    4:08 Serotonin Syndrome Diagnosis (Hunter Serotonin Toxicity Criteria)
    5:16 Serotonin Syndrome Treatment
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    Other Questions answered and video tags:
    Serotonin syndrome
    Serotonin syndrome explained
    Understanding serotonin syndrome
    Serotonin syndrome symptoms
    Serotonin syndrome vs neuroleptic malignant syndrome
    Serotonin syndrome treatment
    Serotonin syndrome mnemonic
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    What is serotonin syndrome
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    Serotonin syndrome pathophysiology
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    Serotonin syndrome animation
    Serotonin syndrome made easy
    Hunter serotonin toxicity criteria
    Disclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.
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Komentáře • 139

  • @RhesusMedicine
    @RhesusMedicine  Před rokem +8

    For more medicine videos consider subscribing (if you found any of the info useful!):
    czcams.com/channels/Rks8wB6vgz0E7buP0L_5RQ.html
    Patreon: www.patreon.com/rhesusmedicine
    Buy Us A Coffee!: www.buymeacoffee.com/rhesusmedicine
    Video Timestamps:
    0:00 What is Serotonin Syndrome?
    0:25 Serotonin Syndrome Pathophysiology
    2:03 Serotonin Syndrome Symptoms
    3:26 Serotonin Syndrome Risk Factors
    4:08 Serotonin Syndrome Diagnosis (Hunter Serotonin Toxicity Criteria)
    5:16 Serotonin Syndrome Treatment

    • @Panda-cp9cs
      @Panda-cp9cs Před rokem

      that heartbeat at the start has been the smartest intro that I have ever seen. You probably already know what I mean

  • @Badboybonsai
    @Badboybonsai Před rokem +146

    I had serotonin syndrome caused by citalopram, I spent a month in a coma and now have epilepsy. Ruined my life. Lost my job and driver’s license.

    • @inutero2068
      @inutero2068 Před rokem +5

      So sorry to hear that friend

    • @jbuddyman
      @jbuddyman Před rokem +4

      🙏🙏🙏 so sorry prayers

    • @greendevul
      @greendevul Před rokem +1

      How did u get it

    • @Badboybonsai
      @Badboybonsai Před rokem +23

      @@greendevul anti anxiety medication mixed with painkillers. I didn’t know you couldn’t mix them, I was on holiday and had a terrible headache so took some painkillers, next day I was in ICU on full life support.

    • @greendevul
      @greendevul Před rokem +2

      @Adam Murray dang I will be praying for u do u know if u can get that by also taken benadrills or melatonin wit it

  • @stevelindsay3643
    @stevelindsay3643 Před rokem +27

    WELL DONE. THE BODY TEMP SWING HAS ALWAYS BLOWN ME AWAY.
    IT CAN BE A 100 DEGREES IN HERE AND I'M STILL SHIVERING AND SHAKING, FREEZING MY ASS OFF.

  • @samr.3515
    @samr.3515 Před 2 měsíci +9

    I was on 6 different meds that affected serotonin production when i decided to experiment with Lsd. I didn't know about serotonin sydrome and i had 14 seizures in 2 hours and almost died.

    • @jayweathers2701
      @jayweathers2701 Před měsícem +1

      Glad you’re still here! I believe I had a focal seizure this morning as a result of taking 5-htp while on Prozac and vyvanse 🤦‍♂️
      I had a strong Deja vu for 30-45 minutes and rhythmic movements in the hands and feet. I can’t IMAGINE how you felt lol

  • @m4ssee
    @m4ssee Před rokem +34

    I think I once had (a mild case of) this. Took DXM with beer while using 5-HTP and mirtatzapine regularly as I didn't know about the interactions. Felt very dizzy, jittery, sweaty and disoriented for like a week.

    • @Vengeance627
      @Vengeance627 Před rokem +2

      hey pal I have just recently and unfortuenly had the exact same experience with the same cocktail of substances you took minus mirta I took a low dose dxm dose with 300mg of 5htp (big mistake, folk may say it can't cause SS like ssris of any type do yet there are others out there who had the same thing), caused mild/moderate ss, went away, drank a few beers then it came back and I went to the ER. SS even mild is nightmare shit I felt like I was being scorched alive in tandem with a bad time of dxm the SS put me in.
      i see im far from the only one there are others on the reddit sub who experienced the same. it lasted a week for you :( sorry to hear it must of been awful it's day two-three for me I am fairly back to normal.

  • @michelebunting6706
    @michelebunting6706 Před rokem +46

    I think my mom had this last week. It was awful. She’s on 2 or 3 antidepressants. One benzodiazepine. And other meds. She was vomiting, pail, heart palpitations. Had falls and passed out once. It’s no joke!

    • @somethingbambi875
      @somethingbambi875 Před rokem +1

      Benzo is the worst thing I have ever experienced. No one (but mom) believes me because they never been experience anything on it, but it made me have a physcosis, which I had never experienced before and never after, had to be hospitalized, it was the scariest thing ever!!!

    • @ajh1894
      @ajh1894 Před 9 měsíci +2

      Benzos don’t cause serotonin syndrome. Benzos are a central nervous system drug. Matter or fact, benzos are the first line to treat serotonin syndrome. But may I ask which antidepressants? I just started one and one only. Taken remeron and celexa for years without having serotonin syndrome. But now I’m getting back on celexa to quit Kratom. I’m just curious for people who had it or know people what the actually drugs were that caused it

  • @15dust90
    @15dust90 Před 8 měsíci +14

    i might’ve had this one time i smoked like three blunts and i was also on a new dose of lexapro i got super sick, hella pale and my mind was super disoriented and i felt like i was gonna die
    but i was not greening out , trust me i’ve never in my life thrown up from smoking too much weed and my tolerance was very high, i know what greening out feels like and it’s never made me physically ill like that

    • @ramennoodles2589
      @ramennoodles2589 Před 2 měsíci

      That sounds exactly like a greenout, the same thing happened to me
      It's weird but sometimes you can suddenly have a completely different reaction to weed like flipping a switch

    • @15dust90
      @15dust90 Před měsícem +1

      @@ramennoodles2589yeah it’s super weird probably did just green out that’s why i don’t smoke anymore it’s like russian roulette for me🤣

  • @Rat_Queen86
    @Rat_Queen86 Před 4 měsíci +4

    I had my SSRIS increased due to higher anxiety
    1 day later, I had the runs, headaches, trembling, muscles twitches, sweating…it was mild but still, I needed at least a week to recover at home 😮

    • @reginaharding9855
      @reginaharding9855 Před 2 měsíci +1

      Yup. Celexa with trazedone did it to me. Currently recovering

  • @moshitoshi
    @moshitoshi Před rokem +6

    You’re a fantastic teacher.

  • @dafni10565
    @dafni10565 Před 9 měsíci +5

    I took Valerian root + Duloxetine and was so sick had to go to er. Severe weakness, fever, sweating, vomiting etc it was awful. The Activated Charcoal I took at home helped alot. Unfortunately they didn't help me the hospital at all except for an anti- nausea pill. It was a joke

  • @shinjiikari5174
    @shinjiikari5174 Před 3 měsíci +6

    Oh shit, looks like I need to talk to my psychiatrist, how the hell did he not pick up on all the concerningly overlapping symptoms I've mentioned in relation to my medication?

    • @Bigf00t100
      @Bigf00t100 Před 3 měsíci

      Any luck with finding a solution?

    • @ryankelly7216
      @ryankelly7216 Před 2 měsíci

      i have it too. going through it right now. it is awful

    • @reginaharding9855
      @reginaharding9855 Před 2 měsíci +2

      . I was on trazedone and they added celexa and I was feeling so bad I added HydrOXYzine and promethazine to help. Bad idea. I kept going to hospital because I thought I was having seizures. Dizzy, nausea, vomiting, diarrhea, tremors, trance spells, head shaking, oxygen was bad, agitation, insomnia, sweating, clenching jaw, neurological issues, list goes on. I didn't have a fever. I'm currently recovering. Horrible

    • @belizejuliette7223
      @belizejuliette7223 Před 2 měsíci

      Exactly what my thought is 🥺

  • @IK_59
    @IK_59 Před rokem +3

    Very nice work

    • @Panda-cp9cs
      @Panda-cp9cs Před rokem

      indeed

    • @Panda-cp9cs
      @Panda-cp9cs Před rokem

      Indeed is the #1 job site in the world1 with over 300M unique visitors every month2. Indeed strives to put job seekers first, giving them free access to search for jobs, post resumes, and research companies. Every day, we connect millions of people to new opportunities.

  • @narcissisticidiot1727
    @narcissisticidiot1727 Před 2 měsíci +1

    I took alcohol and Xanax (what I was told) and I believe I had this, I still have residual effects like a strange feeling every time I yawn, and a strange feeling that’s hard to describe in my stomach

  • @melankoIi
    @melankoIi Před rokem +5

    had this yesterday for the second time lmao it feels hard to breathe for days afterwards

  • @scottthomas5819
    @scottthomas5819 Před rokem

    Good 👍

  • @mitacestalia7532
    @mitacestalia7532 Před rokem +4

    Uh, I might need to check to my doctor. I've been having heart palpitations, nausea, want to vomit and lost appetite, and twitching legs too.... It's been going for three weeks too...

  • @lamplight1636
    @lamplight1636 Před 3 měsíci +2

    I'm on ssri and I took 450 mg of dxm and gave Myself this it sucked

  • @blinkersarentfree
    @blinkersarentfree Před 2 měsíci

    can seritionine syndrome get cause my zofran and smoking pot?

  • @tggraham3321
    @tggraham3321 Před rokem +13

    An unknown combo to be careful of is the OTC supplement 5HTP and onedestrone (zofran) os dangerous. But taking along with buspar, and hydroxizine even worse. Be sure you talk to your doctor before adding any supplements. I made this mistake and it was a terrible!

    • @Vengeance627
      @Vengeance627 Před rokem +1

      I think 5htp, unless used with major caution and knowledge is just a risky substance in general ya gonna take something else likely within the timeframe of using 5htp and then this happens.

    • @meaganyn
      @meaganyn Před 5 měsíci

      Wait tell me more about this…

    • @tggraham3321
      @tggraham3321 Před 5 měsíci

      @@meaganyn what would you like me to elaborate on?

    • @meaganyn
      @meaganyn Před 5 měsíci

      @@tggraham3321 well I take all of those except not buspar … I’ve def taken 5htp, hydroxyzine, magnesium, tart cherry, melatonin at night all together… why is it so bad?

  • @ChonkyAsmr
    @ChonkyAsmr Před měsícem +1

    I had a very severe experience. I had a burst of energy, then suddenly, Ice cold, white as a ghost, but clammy and sweating, vomited my entire stomach contents and then some, delirious, dizzy spells,
    It’s awful, you really feel like you are dying.

  • @jdogagt
    @jdogagt Před rokem +7

    I took 100mg of 5htp and 4 days later 50mg of 5htp. My calves locked up for 3 days, i had extreme dry eyes, tingling in toes and fingertips, felt like my heart was racing and had major anger swings. I have been to the emergency room and to a regular doctors have gotten no help at all. They referred me to a neurologist but cant get in until two months from now. I really don't no what to do but need serious help.

    • @princess555o4
      @princess555o4 Před rokem +3

      Stop taking the medication

    • @sheenanguyen4347
      @sheenanguyen4347 Před 10 měsíci +2

      Just stop taking all these medications, most doctors don’t know these ADR…

  • @edgarcasey1840
    @edgarcasey1840 Před rokem +6

    How about mdma and using 5htp to help r
    Heal the serotonin receptors

    • @DxmAddict
      @DxmAddict Před rokem +11

      If you have seretonin syndrome Just take a long break from all drugs, go smoke some weed

    • @edgarcasey1840
      @edgarcasey1840 Před rokem

      @@DxmAddict I don't have it. Never have just wondering about mdma and 5htp to help revover

    • @ajh1894
      @ajh1894 Před 9 měsíci +3

      @@edgarcasey1840if you happened to be a rare case of getting serotonin syndrome, because it is rare which people don’t realize. Why on earth would you combine those 2?! That’s asking your serotonin syndrome to amplify

    • @lavafixer8477
      @lavafixer8477 Před 5 měsíci

      @@edgarcasey1840Mdma is neurotoxic to the serotonergic neurotransmission system, I can’t imagine that would help at all. 5-htp would probably be fine a while after you have serotonin syndrome, as it’s not a serotonin releasing agent or SERT inhibitor.

  • @helenalovelock1030
    @helenalovelock1030 Před rokem +7

    My daughter (21 years) had this within hours/days of being put on starting dose 20mg of Citalopram.

    • @danielsan3681
      @danielsan3681 Před rokem

      😢

    • @user-ri4fy3td1e
      @user-ri4fy3td1e Před rokem +2

      Is she okay, i hope so. I am having it right now too and anxious

    • @pixeljoker8759
      @pixeljoker8759 Před 9 měsíci

      ​@@user-ri4fy3td1eI hope everything was ok I'm not sure if I was having it but the symptoms were bad all day

    • @jadrobe3492
      @jadrobe3492 Před 6 měsíci

      @@user-ri4fy3td1edid you recover alright?

  • @ZaddyGohan
    @ZaddyGohan Před rokem +24

    So I take Zoloft on a regular basis. Last night I was under the influence of marijuana, and realized I had forgotten to take my Zoloft during the day. I took it while high and what I experienced was scary to say the least. Uncontrollable shaking, everything looked fuzzy, and I almost passed out at one point. Could the combination of Zoloft with being high have cause Serotonin Syndrome?

    • @DeltaReviews420
      @DeltaReviews420 Před rokem +19

      No you were just probably too high lol weed doesn’t effect serotonin receptors

    • @jobalogo383
      @jobalogo383 Před rokem +5

      @@DeltaReviews420 WRONG
      FU

    • @DeltaReviews420
      @DeltaReviews420 Před rokem

      @@jobalogo383 ? Please do some research, your language indicates your arrogance.

    • @walterstanford8162
      @walterstanford8162 Před rokem +2

      ​@@DeltaReviews420 sadly depending on the strain it can be a downer also.

    • @DeltaReviews420
      @DeltaReviews420 Před rokem

      @@walterstanford8162 strain has little to no effect on the high it’s all placebo

  • @michelleelle97
    @michelleelle97 Před 7 měsíci +2

    This has happened to me I’m having really bad anxiety because of it and I don’t know how to get rid of it I feel like nothing is helping and my doctors can’t see me til Wednesday

    • @crazykida3130
      @crazykida3130 Před 7 měsíci

      Sleep

    • @tealeafs3824
      @tealeafs3824 Před 2 měsíci

      Because of anxiety and panick attacks I quit caffeine( coffee, chocolate, green tea, coca-cola/pepsi, energy drinks) two weeks ago. My panick attacks were so bad I also had them in my sleep.
      At first I quit for a week, no more p.a, so I drank only one coffee and panick attacks came back the same day.
      Caffeine fu*ks up your brain's sensitivity. I drink only water now.
      I still have withdrawals, and can't concentrate, but my sleep improved, no panic attacks, anxiety, etc. Is hard but totally worth it. It will take a month I guess to clear up completely.
      Hope it helps.

    • @michelleelle97
      @michelleelle97 Před 2 měsíci

      @@tealeafs3824 I wish I saw this ages ago I don’t really use CZcams on my phone but I’m way better now I’m on new meds and they’re helping so far so good still a bit anxious but since then I broke my ankle and that kind of restarted it again because I was stuck bed bound basically and it depressed me but as long as I’m not how I was at this point in time I’m happy I hope things are going well for you I appreciate the comment!

  • @PeaceLuvDojah
    @PeaceLuvDojah Před 6 měsíci +7

    Came her to learn why my seratonin is so high. Jesus made me this way. I don’t eat a certain way or take medication I’m just uncharacteristically happy. 😂😅😂

  • @anoopsagar8911
    @anoopsagar8911 Před 2 měsíci

    Had this yesterday with a combination of Lexapro and paroxatine i almost died last night.

  • @K-yu-ko8dv
    @K-yu-ko8dv Před 9 měsíci

    watching this so I remember to follow the week per plat rule of dxm

  • @mt.billings1234
    @mt.billings1234 Před rokem +2

    I tried to od on trazodone,took about twenty pills went to sleep its going on day four after and my ideation went away should I go to the doctor or will it go away on its own, I threw all my meds out

    • @crazykida3130
      @crazykida3130 Před 7 měsíci +1

      go check in with you doctor man better safe then sorry

  • @reganaudrey5573
    @reganaudrey5573 Před 11 měsíci +6

    So I’m on lexapro and a while back I was doing cocaine and ketamine while on the lexapro. I believe I had serotonin syndrome but it only lasted for 5 mins. It felt like a panic attack coming on except my hands and lip muscles because stiff as a board and I couldn’t talk or move my fingers. I started panicking. I was sweating profoundly and my pupils were dilated. I’m sure it was the interactions between everything but does it sound like that’s what happened? Should I have gone to the hospital?

    • @Quick_thumbs
      @Quick_thumbs Před 10 měsíci +7

      You should probably stop doing so much coke

    • @fernandosalazar3366
      @fernandosalazar3366 Před 4 měsíci

      Any amphetamine being mixed with a ssri is extremely inadvisable and yes you could have experienced that. Please be careful

    • @pamlatham5851
      @pamlatham5851 Před měsícem +1

      It’s a thousand wonders you’re still alive !!!!

  • @ashishgurung5215
    @ashishgurung5215 Před rokem

    Does serotonin syndrome cause hypertension tension

  • @milanimorales2645
    @milanimorales2645 Před 8 měsíci

    I'm just trying to make sure if I eat a full pie of spinach quiche I wont get these symptoms... I heard spinach and eggs have serotonin and I am about to pig out✌

  • @michalbrz
    @michalbrz Před rokem +5

    Small correction at 1:13, N in SNRI is not noradrenaline but norepinephrine :)

    • @KezzaPwNz
      @KezzaPwNz Před rokem +7

      They are exactly the same thing mate. One is just an American convention.

    • @michalbrz
      @michalbrz Před rokem +4

      @@KezzaPwNz oh nice, you're right. Thanks for teaching me something new!

    • @KezzaPwNz
      @KezzaPwNz Před rokem +5

      @@michalbrz No worries - wouldn't be medicine if you weren't constantly learning new things each day.

  • @DoNotPirateNoPiracy
    @DoNotPirateNoPiracy Před 4 měsíci +1

    buspar!

  • @doe.john666
    @doe.john666 Před měsícem

    My shit is hard once again after 15 years on 225 mg its a long diarrea

  • @belizejuliette7223
    @belizejuliette7223 Před 2 měsíci

    How come a psychiatrist bescribe SSRI, benzodiazepines, adhd drugs together? Isn’t that dangerous 😊

  • @quantumpower
    @quantumpower Před rokem +1

    3:16

  • @user-dq3ll5jb9h
    @user-dq3ll5jb9h Před 7 měsíci

    I became pale as a paper sheet and my mouth was red and extremely dry, I had tachycardia and vomited on my friends, I woke up at 6am with a lot of diarrhea, almost shat in my underwear and my bed 😂💩
    I took Escitalopram 20mg, Vyvanse 50mg and a looot of weed 🌿.
    Everytime I mix this substances I have diarrhea and serotonin syndrome symptoms.

  • @CosmicinnerPeaceAncientScience

    Remember serotonin is produced in the gut. This is why it's important to eat foods based on your culture or your spirit. Only 10% is produced in our brain.
    If you eat bad foods you will reflect the energy that FOOD . anxiety, fear, and satiety.
    Remember healthy serotonin levels can help people feel calmer, happier, more focused, and less stressed.

  • @user-tr4mh9zm9b
    @user-tr4mh9zm9b Před rokem +3

    what heppens when we drug kids..

    • @bostonb4kedbeans
      @bostonb4kedbeans Před 11 měsíci +4

      This is not drugs like coke or crack. This is medically necessary for some people to live functioning lives.

  • @olgamora4613
    @olgamora4613 Před rokem

    You are on the right track. The voice needs to change so that people can take it seriously!

  • @purp3870
    @purp3870 Před 2 měsíci +1

    Asswashganda

  • @emmamclaughlin6413
    @emmamclaughlin6413 Před 5 měsíci +3

    JESUS saves Roman’s 10:9-11!!!

    • @user-uh4yj9cy6k
      @user-uh4yj9cy6k Před 4 měsíci

      HE saves our soul but not always the body.

    • @luckpup2766
      @luckpup2766 Před 3 měsíci

      AMEN

    • @samr.3515
      @samr.3515 Před 2 měsíci +2

      It certainly wasn't Jesus that treated me in the ambulance and er when I had 14 seizures in 2 hours and almost died from serotonin syndrome. They looked more like doctors.

    • @luckpup2766
      @luckpup2766 Před 2 měsíci

      @@samr.3515 Anothwr axample of atheista being dumb 😂😂😂😂 no one needs to even say anything more to this fool right here. We're praying for you, lil bro.