Template:Serotonin syndrome vs neuroleptic malignant syndrome: Difference between revisions

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*History of a new serotonergic drug or a dose increase of a serotonergic drug are helpful
*History of a new serotonergic drug or a dose increase of a serotonergic drug are helpful
*Serotonin syndrome is usually much more acute in onset than NMS which may develop over days or weeks
*Serotonin syndrome is usually much more acute in onset than NMS which may develop over days or weeks
*Presence of ‘lead pipe’ rigidity is typical of NMS, while patients with serotonin syndrome manifest tremor and hyperreflexia
*Presence of ‘lead pipe’ rigidity is typical of NMS, while serotonin syndrome typically manifests with tremor and hyperreflexia
*Elevations in CK, LFTs, and WBC, coupled with a low iron level, distinguishes NMS from serotonin syndrome among patients taking neuroleptic and serotonin agonist medications simultaneously
*Elevations in CK, LFTs, and WBC, coupled with a low iron level, distinguishes NMS from serotonin syndrome among patients taking both neuroleptic and serotonin agonist medications simultaneously

Latest revision as of 04:33, 13 February 2017

Serotonin syndrome vs Neuroleptic malignant syndrome

  • History of a new serotonergic drug or a dose increase of a serotonergic drug are helpful
  • Serotonin syndrome is usually much more acute in onset than NMS which may develop over days or weeks
  • Presence of ‘lead pipe’ rigidity is typical of NMS, while serotonin syndrome typically manifests with tremor and hyperreflexia
  • Elevations in CK, LFTs, and WBC, coupled with a low iron level, distinguishes NMS from serotonin syndrome among patients taking both neuroleptic and serotonin agonist medications simultaneously