Evidence map›Paper›PMID 41646208›Full record

ArticleThe mental health clinician2026

Protracted escitalopram discontinuation syndrome and serotonin toxicity associated with CYP2C19 poor metabolism: A case report.

Elizabeth H Tran, Jeffrey R Bishop, Jacob T Brown, Sarah J McIsaac, Mark E Schneiderhan

Abstract readCase Reports
In one paragraph

Article in The mental health clinician, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Elizabeth H Tran(Corresponding author) Clinical Research and Education Project Manager, University of Minnesota College of Pharmacy, Duluth, Minnesota, tran0495.d@gmail.com.ORCID https://orcid.org/0009-0001-2301-1285
Jeffrey R BishopProfessor, Department of Experimental and Clinical Pharmacology, University of Minnesota College of Pharmacy, Minneapolis, Minnesota; Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, Minnesot.ORCID https://orcid.org/0000-0001-7653-8980
Jacob T BrownAssociate Professor, University of Minnesota College of Pharmacy, Duluth, Minnesota.ORCID https://orcid.org/0000-0002-3953-1058
Sarah J McIsaacMedical Director, Human Development Center, Duluth, Minnesota.ORCID https://orcid.org/0009-0008-0234-7370
Mark E SchneiderhanAssociate Professor, Department of Pharmacy Practice and Pharmaceutical Sciences, Duluth, Minnesota; University of Minnesota College of Pharmacy, Minneapolis, Minnesota; Department of Psychiatry, Human Development Center, Duluth, Minnesota.ORCID https://orcid.org/0000-0002-4239-3354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Serotonin-related adverse drug reactions (ADRs) of selective serotonin reuptake inhibitors, including serotonin toxicity (ST) and antidepressant discontinuation syndrome (ADS), may significantly affect adherence to antidepressant therapy. ST is a rare but potentially serious adverse drug reaction resulting from excessive serotonergic activity, while ADS may occur after the abrupt discontinuation or dose reduction of an antidepressant. Both complications may be influenced by pharmacokinetic and pharmacogenetic (PGx) factors, although research on these relationships is limited. This case report describes a 40-year-old, medically healthy patient identified to be a

Indexed as

antidepressant discontinuation syndromeCYP2C19 poor metabolizerescitaloprampharmacogeneticsserotonin toxicity

Identifiers

PMID41646208
PMCPMC12872347

What OpenQuestion holds

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Registered trials

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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.