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Sildenafil dapoxetine dosage should be reduced. What if I've been exposed to my own SSRI overdose? Serious adverse effects may occur if your SSRI overdose is not recognized or treated in time. The medication can cause seizures, convulsions, coma, or death. People with liver disease, kidney damage, the metabolic syndrome, or those whose immune systems have been compromised by certain conditions may be more likely to exhibit serotonergic reactions medications like SSRIs. If you think have taken an improper dose of SSRIs, call your health-care provider, poison control center, or hospital emergency room as soon possible. Seek medical attention right away if… You've taken more than your prescribed dose. Serotonin syndrome has developed. Serotonin overactivity has developed in your body. You have vision changes, difficulty with muscle control, abnormal heart rate, dizziness, fainting, vomiting, seizures, coma, or death. How does my health care provider treat the overdose? This depends on the type of SSRI and extent toxicity. SSRIs are generally not used to treat serious medical conditions. The recommended treatment for acute overdose is supportive: Increase fluids and nutrition. (Do not stop taking any medications without stopping fluids.) Increase your breathing and circulation. Carry you to an emergency medical care center as soon possible. If you need to be hospitalized, contact the poison control center or your health care provider(s). In severe cases of serotonin syndrome, other treatment options may be needed: Intravenous fluids. Intravenous drugs such as sodium pentobarbital and lorazepam. Intravenous norepinephrine (Adrenaline), (Norepinephrine), or l-dopa. Intravenous benzodiazepines on a short-acting (ie, short release) form. What is the outlook for people with serotonin syndrome after taking SSRIs? Short-term prognosis depends on the cause of overdose. If an overdose occurs due to the misuse or delay in use of a particular drug or medication, the outlook gets better. Most major SSRI overdoses are accidental and unintentional. Long-term prognosis depends on the extent of serotonin syndrome, response to treatment, and interaction with other medications. The prognosis is uncertain for people with long-term serious adverse effects of SSRIs, even if they appear to be going well on initial treatment. Long-term effects of depression are often permanent. How is serotonin syndrome related to taking antidepressants? SSRIs, like any other medications, can interact with pharmaceuticals. In some situations, interactions between SSRIs and other drugs may be associated with serotonin syndrome and death. Some prescription stimulants appear to carry an increased risk of serotonin syndrome. This increased risk is greatest for amphetamine-treated individuals treated with methylphenidate tablets. However, others people who take a combination of stimulants and SSRIs have an increased risk of serotonin syndrome. Most patients should not take stimulants (ie, methylphenidate and amphetamine). For more information, read Stimulant-associated Reversible Neurotoxicity. To learn more about other risk factors, including genetic makeup, call Adcom at 1-877-717-6852 or see the "SSRI and Psychiatric Disorders Resources" brochure. This information is based on limited Urimax d tablets cipla scientific evidence. More research and people are needed to better understand the risk and impact of serotonin syndrome, especially in younger and older adults taking SSRIs. This information may not be reproduced or used in any way without the written permission of publisher. For requests, contact Dr. Thomas Sildenafil 100mg $315.19 - $0.88 Per pill Caruso, Adcom. This publication is available for your convenience only. Printed copies of this information (especially the "Brief Definitions," which was last updated on August 9, 2001) may be obtained from the Publisher's office. Copyright © 2001 Adcom, Inc.
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