Guest guest Posted January 1, 2007 Report Share Posted January 1, 2007 good to hear - I'm sure a good year awaits PS some info for anyone interested from native remedies re: seratonin syndrome and FDA questions I asked them Hi Eileen Thank you for your query. Serotonin toxicity is an iatrogenic <http://en.wikipedia.org/wiki/Iatrogenic> (i.e. caused by medical treatment) toxidrome <http://en.wikipedia.org/wiki/Toxidrome> . It is commonly referred to as serotonin syndrome. However, that is less than satisfactory terminology, because it is a form of poisoning <http://en.wikipedia.org/wiki/Poison> .[1] <http://en.wikipedia.org/wiki/Serotonin_syndrome#_note-0> The term toxidrome (from toxic <http://en.wikipedia.org/wiki/Toxic> + syndrome <http://en.wikipedia.org/wiki/Syndrome> ) is more appropriate and accurate. Serotonin syndrome is caused by increased serotonin <http://en.wikipedia.org/wiki/Serotonin> in the central nervous <http://en.wikipedia.org/wiki/Central_nervous_system> system usually as a result of therapeutic drug use, intentional self-poisoning, or inadvertent interactions between drugs. These changes are more pronounced following supra-therapeutic doses and overdoses, and they merge in a continuum with the toxic effects. Symptoms may be classed into three groups: * Cognitive <http://en.wikipedia.org/wiki/Cognitive> effects: mental confusion <http://en.wikipedia.org/wiki/Mental_confusion> , hypomania <http://en.wikipedia.org/wiki/Hypomania> , hallucinations <http://en.wikipedia.org/wiki/Hallucinations> , agitation <http://en.wikipedia.org/wiki/Agitation_%28emotion%29> , headache <http://en.wikipedia.org/wiki/Headache> , coma <http://en.wikipedia.org/wiki/Coma> . * Autonomic <http://en.wikipedia.org/wiki/Autonomic_nervous_system> effects: shivering <http://en.wikipedia.org/wiki/Shivering> , sweating <http://en.wikipedia.org/wiki/Sweating> , fever <http://en.wikipedia.org/wiki/Fever> , hypertension <http://en.wikipedia.org/wiki/Hypertension> , tachycardia <http://en.wikipedia.org/wiki/Tachycardia> , nausea <http://en.wikipedia.org/wiki/Nausea> , diarrhea <http://en.wikipedia.org/wiki/Diarrhea> . * Somatic <http://en.wikipedia.org/wiki/Somatic_nervous_system> effects: myoclonus <http://en.wikipedia.org/wiki/Myoclonus> /clonus <http://en.wikipedia.org/wiki/Clonus> (muscle twitching), hyperreflexia <http://en.wikipedia.org/wiki/Hyperreflexia> , tremor <http://en.wikipedia.org/wiki/Tremor> . Insomnia <http://en.wikipedia.org/wiki/Insomnia> , sleep disruption, and unrefreshing sleep are also reported symptoms, as well as itching and The combination of MAOIs <http://en.wikipedia.org/wiki/MAOI> and other serotonin agonists or precursors poses a particularly severe risk of a life-threatening serotonin syndrome episode. Many MAOIs <http://en.wikipedia.org/wiki/MAOI> inhibit monoamine oxidase irreversibly, so that the enzyme cannot function until it has been replaced by the body, which can take at least two weeks. A dangerous serotonin syndrome reaction can occur unless serotonin agonists and even serotonin precursors such as foods containing tryptophan are strictly avoided until the monoamine oxidase has been replaced. Treatment There is no antidote to the condition itself, but emergency medical clinicians can administer cyproheptadine <http://en.wikipedia.org/wiki/Cyproheptadine> or methysergide <http://en.wikipedia.org/wiki/Methysergide> to control the symptoms. Doing so is important as the symptoms can in severe cases be potentially life threatening. If the symptoms are not severe or life threatening, optimal treatment consists of discontinuation of the offending medication or medications, offering supportive measures, and waiting for the symptoms to resolve. If the offending medication is discontinued, the condition will often resolve on its own within 24 hours. Unfortunately, the FDA does not approve or validate herbal or homeopathic remedies, nor require double blind or other such testing. They do inspect them as they enter the country to ensure that there are no problems, but this is not the same as their approval process for medicines. However, Native Remedies, as a company, is registered with the FDA , as are the manufacturers and the formulator of all the remedies. You can therefore be assured that all our products are of the highest quality and formulated under pharmaceutical conditions to the correct therapeutic strength. For more info, please go to: Native <http://www.nativeremedies.com/> Remedies Please let us know if there is anything else we can assist you with. Warm regards, Quoting McRobie <ocdisordermom@...>: > Here's to a peaceful and hopeful new year! I am grateful to this > group for being here, for sharing the highs and the lows, the > uncertainties and the fears, for your candor about the sheer > intensity of the experiences and for your wealth of information. > And for the sincere, generous, human support. Thank you, one and all. > > I felt as if I went into the holiday season holding my breath. It > was last year at this time that , then 10, pretty much lost > control of her OCD and starting staying up late at night ritualizing > and out of desperation we sought out medication. So I was fearful > of how the holidays would be this year. Since she lost the benefits > of Zoloft suddenly in late August, after about five months of > pretty good response, and didn't respond to trials of Lexapro or > Anafranil this fall, I figured we would have another Christmas like > last year's. She had been taking 20 minutes to walk through a room > at home, at least 10 minutes to get out of the car, and on and on. > So I didn't get tickets for anything like the Nutcracker - I > figured we'd never make it to the theater in time! > > And what happened (huge exhale!) has been Abilify, She worked up to > 6 mg about a week ago. Now can spontaneously leave the > house, goes to bed because she's tired, hasn't had a shouting match > in a week, takes shorter showers, walks through the house without > incident! She's still tapping things, still has repetitive > behaviors, but BOY what a change! The most interesting change is > that she's letting me talk to her just a little about OCD. She has > NEVER been forthcoming about what she feels, what's going on in her > thoughts, etc. Now, when I coax her a bit, she'll actually say > something that confirms that she knows she has this disorder. Not a > lot, but it's a start. It must be the Abilify. She's also a > little more zombie-like than I want her to be, but we need to see > what difference this makes when she goes back to school next week. > > I fear for her, of course. She can't possibly take this stuff > forever - first, it's just plain too expensive. Second, she > probably wants to do " normal " stuff like having kids, and you can't > take all of these chemicals when pregnant (I know, she's only 11, > but I have to think about her future!). I want so badly to have her > in ERP, which of course may not be compatible with Abilify (no > strong compulsions to work with while medicated). But for now, > we'll take what we've got and relax a bit as she gets the benefit of > being freed, however temporarily, from some of her rituals. > > Without this group, I never would have known about the kids who have > gotten benefits from Abilify (the psychiatrist wanted to try > Seroquel next and it might have worked, who knows?). I asked for it > because many of you had shared positive experiences. So my thanks > to you. And we'll see what happens. > > Again, a Happy New Year as we work to make our kids' futures brighter. > > Cheers, > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
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