Re: Hello again! Advice and support needed
Originally Posted by
KayMK
Panic down under do you think I might have serotonin syndrome? Googled it and now I'm panicking because I have some of the symptoms.
No, it almost certainly isn't serotonin syndrome/toxicity (SS/T). It usually occurs when two serotonergic meds with different modes of action are taken together. Most serious cases involve MAOI class ADs plus another med. It is rare when taking only one med even in massive overdose. Most of the online information about SS/T is nonsense and that includes in medical journals and FDA, MHRA and WHO, etc, advisories. Not my opinion, but that of Dr Ken Gillman, one of the two leading experts on the syndrome, for example: Regulatory Agencies (WHO, FDA) Offer Ill-Conceived Advice about Serotonin Toxicity (Serotonin Syndrome)...
You might find this useful: Demystifying serotonin syndrome (or serotonin toxicity) - PDF. Note that neither jaw or teeth are mentioned.
Feel shaky and sick and I keep clenching my jaw.
Jaw clenching and teeth grinding is a relatively common initial side-effect of most ADs, but they are not symptoms of SS/T. They can also be triggered by anxiety.
Would I still be able to feel better in the evenings if I was suffering with it? The rational part of me says no but then the fear kicks in again.
Your fluoxetine plasma levels have now stabilised to a steady state so you have the same amount of drug in your system 24 hours a day. If it were SS/T then the symptoms would be fairly constant.
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The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.