Managing serotonin syndrome

A patient presents feeling agitated, restless and sweaty, and having vomited the night before

Sarah is a 34-year-old divorced woman who presents with concerns about her mood and anxiety.

Woman depressed pill

She has a two-year history of depression and in the past six months has also developed anxiety symptoms.

She reports feeling anxious all the time, and sleep disturbance with marked initial insomnia.

Sarah has recently started to self-medicate with alcohol to help her sleep.

Her usual GP had started citalopram 20mg daily three months prior.

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