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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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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 |
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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 |
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