Serotonin syndrome from combination hydrocodone and cyclobenzaprine in a patient with cerebral palsy.
Pain Manag
; 13(6): 329-334, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37458236
ABSTRACT
Aim:
Serotonin syndrome (SS) is a life-threatening syndrome that occurs with the use of serotonergic drugs, most commonly due to two or more agents. Cerebral palsy is associated with mood disorders, and more commonly pain, with a prevalence of up to 50-80%. Case presentation A 58-year-old female with cerebral palsy, metastatic malignancy and mood disorder who presented to the emergency department with acute-on-chronic pain, and signs of SS. She was initiated on iv. dilaudid, titrated off oral medications and scheduled for a left-sided sacroiliac joint injection.Results:
It was suspected that due to additional doses of hydrocodone and cyclobenzaprine, she developed moderate-SS.Conclusion:
Physicians need to be cognizant of comorbidities and uncommon pain medications that can predispose patients to SS.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Paralisia Cerebral
/
Síndrome da Serotonina
Tipo de estudo:
Risk_factors_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Pain Manag
Ano de publicação:
2023
Tipo de documento:
Article