TY - JOUR T1 - FLUOKSETİN VE DÜŞÜK DOZ TRAZODONUN BİRLİKTE KULLANIMIYLA OLASI SEROTONİN SENDROMU DÜŞÜNDÜREN VE NARANJO İLAÇ YAN ETKİSİ OLASILIĞI ÖLÇEĞİ İLE DEĞERLENDİRİLEN BİR OLGU TT - A CASE POSSIBLE SEROTONIN SYNDROME CASE CAUSED BY COMBINED USE OF FLUOXETINE AND LOW DOSE TRAZODONE AND ASSESSED BY THE NARANJO ADVERSE DRUG REACTION PROBABILITY SCALE AU - Aydın, Sare AU - Batmaz, Sedat AU - Sümbül, Orhan AU - Akpınar Aslan, Esma PY - 2023 DA - September Y2 - 2023 DO - 10.17343/sdutfd.1210458 JF - Medical Journal of Süleyman Demirel University JO - Med J SDU PB - Süleyman Demirel University WT - DergiPark SN - 1300-7416 SP - 572 EP - 577 VL - 30 IS - 3 LA - tr AB - Serotonin sendromu serotonerjik ajan kullanımı sonrasındaoluşan serotonin reseptörlerinin aşırı uyarılmasısonucu gelişen nadir görülen fakat mortal seyredebilensendromdur. Klinik belirti ve bulgular kognitif,nöromüsküler ve otonomik alanda görülmektedir. Serotonerjiketkili bir veya daha fazla ajanın birlikte kullanılmasıbu sendroma neden olur. Klinik görünümü hafifşiddette olup gözden kaçabilen olgular olduğu gibihayatı tehdit eden, yoğun bakım ve mekanik ventilasyongerektiren şiddette de olabilmektedir. Bu yazıdafluoksetin tedavisine trazodon eklenmesi ve doz artırılmasısonrasında 24 saat içerisinde gelişen serotoninsendromu düşündüren bir vaka sunulmuştur. KW - Fluoksetin KW - Serotonin sendromu KW - Trazodon N2 - Serotonin syndrome is a rare but life-threateningsyndrome that develops as a result of excessivestimulation of serotonin receptors after the use ofserotonergic agents. Clinical signs and symptomsare seen in the cognitive, neuromuscular andautonomic areas. Combination of one or more drugswith serotonergic effect causes this syndrome. Whilethere are cases with a mild clinical appearance thatcan be overlooked, they can also be life-threateningand require intensive care and mechanical ventilation.In this article, a case of serotonin syndrome, whichdeveloped within 24 hours after adding trazodone tofluoxetine treatment and increasing the dose, waspresented. CR - 1. Scotton WJ, Hill LJ, Williams AC, Barnes NM. Serotonin syndrome: pathophysiology, clinical features, management, and potential future directions. International Journal of Tryptophan Research. 2019;12:1178646919873925. CR - 2. Özdemir S, Kocabaşoǧlu N. Serotonin Sendromuna Güncel Bir Yaklaşım. Klinik Psikofarmakoloji Bulteni. 2007;17(4). CR - 3. Sternbach H. The serotonin syndrome. Am J Psychiatry. 1991;148(6):705-13. CR - 4. Dunkley E, Isbister G, Sibbritt D, Dawson A, Whyte I. The Hunter Serotonin Toxicity Criteria: simple and accurate diagnostic decision rules for serotonin toxicity. Qjm. 2003;96(9):635-42. CR - 5. 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