Posted by Ritch on May 13, 2002, at 22:46:11
In reply to Could I have Serotonin Syndrome? Advice please!, posted by rainbowlight on May 13, 2002, at 17:03:17
> I added Zoloft to my Lamictal/Remeron/Risperdal combo a little over a month ago. For the past two weeks I have been extremely fatigued/headaches/nauseau/stiff neck and back. I feel like I have a bad case of the flu, but it is not going away. I am wondering if it is Seratonin Syndrome since this seemed to start a few weeks after I added the Zoloft. Any advice or thoughts?
Hi,Well, right away I would tell your doctor about all of this stuff. Hey, don't even be too timid about an ER visit-at least that way it all gets documented and puts a little fire under your pdoc to get to the bottom of it. Geez, you are on a combo of high-power meds that hit a LOT of receptors. The stiff-neck/back could be EPS from the Risperdal. Headaches and nausea sound more like the serotonergic activity of the Zoloft (it gave me the worst nausea of any SSRI-except Luvox). However, you didn't mention feeling feverish or having a fever or getting disoriented and/or agitated, those are other common side effects of serotonin syndrome. What sounds a little spooky though is the fact that you are also on Lamictal. I wonder if the Zoloft addition could be boosting your lamotrigine blood levels up? Does this feel like a Lamictal dose increase? Hey, first thing-leave a message at your pdoc's, next, if you have any thoughts about going to the ER, just GO.
take care,
Mitch
poster:Ritch
thread:106230
URL: http://www.dr-bob.org/babble/20020510/msgs/106260.html