Título Case report: Serotoninergic and cholinergic syndromes induced by self-medication
Autores Orozco-Solano, Sofia , Silva-Castro, Martha Milena , MACHUCA GONZÁLEZ, MANUEL JESÚS
Publicación externa No
Medio Front. Pharmacol.
Alcance Article
Naturaleza Científica
Cuartil JCR 1
Cuartil SJR 1
Fecha de publicacion 16/02/2023
ISI 000942491300001
DOI 10.3389/fphar.2023.1080249
Abstract Self-medication is a part of the self-care practices carried out by the elderly in their environment. The aim of this case report is to show how the self-medication of fluoxetine and dimenhydrinate in an older adult can induce serotoninergic and cholinergic syndromes, showing symptoms such as nausea, tachycardia, tremor, loss of appetite, memory loss, decreased vision, falls, and increased urination. An older adult who has been diagnosed with arterial hypertension, dyslipidemia, diabetes mellitus, and a recent diagnosis of essential thrombosis is the subject of this case report. After the analysis of the case, cessation of fluoxetine was recommended to avoid withdrawal symptoms, therefore decreasing the need for dimenhydrinate and the medicines used for dyspepsia. After the recommendation, the patient showed an improvement in the symptoms. Finally, the comprehensive evaluation process of the medication in the Medicines Optimization Unit achieved the detection of the problem and improved the patient\'s health condition.
Palabras clave cholinergic syndrome; adverse drug reaction; pharmaceutical care; comprehensive medication management; case report; serotoninergic syndrome
Miembros de la Universidad Loyola

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