Evidence map›Paper›PMID 30315014›Full record

ReviewCanadian family physician Medecin de famille canadien2018

Demystifying serotonin syndrome (or

Ai-Leng Foong, Kelly A Grindrod, Tejal Patel, Jamie Kellar

Abstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Drug-drug interactions involving classic psychedelics: A systematic review.Journal of psychopharmacology (Oxford, England) · 2024
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  9. Tricyclic antidepressants dose-dependently modulate the biphasic activity of the TRPC5 channel through opioid receptors.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
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  20. Clinical pearls for management of migraines.Canadian family physician Medecin de famille canadien · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Ai-Leng FoongCompleted her Doctor of Pharmacy degree at the University of Waterloo School of Pharmacy in Ontario.
Kelly A GrindrodAssistant Professor in the University of Waterloo School of Pharmacy and a clinical pharmacist at the Kitchener Downtown Community Health Centre. kgrindrod@uwaterloo.ca.
Tejal PatelAssistant Clinical Professor in the University of Waterloo School of Pharmacy, part-time Assistant Clinical Professor in the Michael G. DeGroote School of Medicine at McMaster University, a clinical pharmacist with the Memory Clinic at the Centre for Family Medicine Family Health Team in Kitchener, a research scientist at the Schlegel-University of Waterloo Research Institute for Aging, and an affiliate researcher with the Waterloo Institute for Complexity and Innovation.
Jamie KellarAssistant Professor and Acting Director of the Doctor of Pharmacy program at the Leslie Dan Faculty of Pharmacy at the University of Toronto in Ontario, an advanced practice hospital pharmacist at the Centre for Addiction and Mental Health in Toronto, a doctoral candidate in the School of Health Professions Education at Maastricht University in the Netherlands, and a research fellow at the Wilson Centre in Toronto.
Centre for Addiction and Mental Health · CAUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review the symptoms of serotonin toxicity (commonly referred to as QUALITY OF EVIDENCE: PubMed and Google Scholar were searched for relevant articles on serotonin toxicity, the causes, and the differential diagnosis using search terms related to serotonin toxicity ( MAIN MESSAGE: Serotonin toxicity is a drug-induced condition caused by too much serotonin in synapses in the brain. Cases requiring hospitalization are rare, and mild cases caused by serotonin-mediated side effects are unlikely to be fatal. Patients present with a combination of neuromuscular, autonomic, and mental status symptoms. Serotonin-elevating drugs include monoamine oxidase inhibitors, serotonin reuptake inhibitors, and serotonin releasers. Most cases involve 2 drugs that increase serotonin in different ways; the most concerning combination is a monoamine oxidase inhibitor with a selective serotonin reuptake inhibitor or a serotonin-norepinephrine reuptake inhibitor.

conclusionFamily physicians play a key role in identifying and preventing serotonin syndrome by teaching patients to recognize symptoms and monitoring patients throughout therapy.

Indexed as

Physician's RoleDrug InteractionsDrug OverdoseFamily PracticeHumansMonoamine Oxidase InhibitorsSelective Serotonin Reuptake InhibitorsSerotoninSerotonin SyndromeMonoamine Oxidase InhibitorsSelective Serotonin Reuptake InhibitorsSerotonin

Identifiers

PMID30315014
PMCPMC6184959
OpenAlexW2900450305

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.