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Table 1 Drug interactions implicated in serotonin syndrome

From: The serotonin syndrome—the need for physician’s awareness

Antidepressants:

Monoamine oxidase inhibitors (MAOIs), TCAs, SSRIs, bupropion

Opioids:

Tramadol, pethidine, meperidine

CNS stimulants:

Phentermine, diethylpropion, amphetamines, methylphenidate, methamphetamine, cocaine

5-HT1 agonists:

Triptans

Phenethylamines:

MDMA, amphetamines, methylphenidate, methamphetamine

Indoles:

Psilocybin, LSD

Others:

Tryptophan, montelukast, buspirone, lithium, linezolid, dextromethorphan, 5-Hydroxytryptophan, chlorpheniramine

Herbs:

St John’s wort, yohimbe