Cargando…

Case report: Serotoninergic and cholinergic syndromes induced by self-medication

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Orozco-Solano, Sofía, Silva-Castro, Martha Milena, Machuca, Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9978782/
https://www.ncbi.nlm.nih.gov/pubmed/36874029
http://dx.doi.org/10.3389/fphar.2023.1080249
_version_ 1784899593249488896
author Orozco-Solano, Sofía
Silva-Castro, Martha Milena
Machuca, Manuel
author_facet Orozco-Solano, Sofía
Silva-Castro, Martha Milena
Machuca, Manuel
author_sort Orozco-Solano, Sofía
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9978782
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-99787822023-03-03 Case report: Serotoninergic and cholinergic syndromes induced by self-medication Orozco-Solano, Sofía Silva-Castro, Martha Milena Machuca, Manuel Front Pharmacol Pharmacology 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. Frontiers Media S.A. 2023-02-16 /pmc/articles/PMC9978782/ /pubmed/36874029 http://dx.doi.org/10.3389/fphar.2023.1080249 Text en Copyright © 2023 Orozco-Solano, Silva-Castro and Machuca. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pharmacology
Orozco-Solano, Sofía
Silva-Castro, Martha Milena
Machuca, Manuel
Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title_full Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title_fullStr Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title_full_unstemmed Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title_short Case report: Serotoninergic and cholinergic syndromes induced by self-medication
title_sort case report: serotoninergic and cholinergic syndromes induced by self-medication
topic Pharmacology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9978782/
https://www.ncbi.nlm.nih.gov/pubmed/36874029
http://dx.doi.org/10.3389/fphar.2023.1080249
work_keys_str_mv AT orozcosolanosofia casereportserotoninergicandcholinergicsyndromesinducedbyselfmedication
AT silvacastromarthamilena casereportserotoninergicandcholinergicsyndromesinducedbyselfmedication
AT machucamanuel casereportserotoninergicandcholinergicsyndromesinducedbyselfmedication