What is Serotonin Syndrome - Is It Fatal?

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  • Опубліковано 3 січ 2025

КОМЕНТАРІ • 743

  • @meganleigh6611
    @meganleigh6611 4 роки тому +287

    I want to thank you, even if you dont see this. Sincerely and whole heartedly. Your channel has changed my outlook in such an intense way. I'm working on going through therapy right now for several mental illnesses. I've always struggled thinking something is wrong with me and not understanding why I feel the way I do. I didn't seek out therapy for my severe suicidal thoughts and mania until watching your videos and realizing that there are other people out there who have gotten through these debilitating feelings. Thank you for this channel, thank you for sharing your knowledge in ways that everyone can understand, and thank you for helping me. 🖤

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +48

      This warms my heart to read this Megan I’m so glad you found my channel and that it’s helped you understand what’s going on, how you’re not alone and that you can get help. I wish you the best. Keep watching, There’s more to come

    • @antoniorodriguez8461
      @antoniorodriguez8461 4 роки тому +4

      Believe in god he will save you dnt only lean on ur understand your ok dnt Believe what you mind always says

    • @pyr3x849
      @pyr3x849 3 роки тому

      I understand your feelings... I want help but I can't seem to do it on my own.. I can't set it all up, I can't wait two months to see someone.. I need help now and no one can help me. I have no one.

    • @ebunni5862
      @ebunni5862 3 роки тому

      That's good news! I'm so happy for you 😻

  • @nadiarittenberry944
    @nadiarittenberry944 4 роки тому +50

    I had Serotonin Syndrome due to a suicide attempt. I was in the ICU for three days with constant seizures. The only thing that helped was Ativan. I regret it and I am glad to still be here

    • @topperharley7892
      @topperharley7892 4 роки тому +2

      Me too was hallucinating audio and visual

    • @nadiarittenberry944
      @nadiarittenberry944 3 роки тому +4

      @sayara sami doing better than ever! i’m glad to be alive

    • @nadiarittenberry944
      @nadiarittenberry944 3 роки тому +1

      @sayara sami very precious thank you for checkin in on me !

    • @leealice9070
      @leealice9070 3 роки тому

      @@nadiarittenberry944 how did you get through the SS? I’m still suffering with no quality of life. What meds helped you feel better x

    • @nadiarittenberry944
      @nadiarittenberry944 3 роки тому +1

      @@leealice9070 my mom thinks it probably effected my brain in some way but i don’t have any noticeable symptoms i would say just give your brain time to heal it may take awhile i take trileptal which is a mood stabilizer/anticonvulsant i think that helps too

  • @nyjahharris4837
    @nyjahharris4837 3 роки тому +37

    Im 18 and was sent to the hospital last Sunday due to a mild case of serotonin syndrome. I was taking lexapro but recently increased my dosage to 10mL(I took a liquid form). My serotonin levels decreased within the next 1-2 days but it was the most mentally and physically painful/scary/exhausting experience i've ever had. I am currently recovering and being monitored by my doctor because it messed my body up. I have increased calcium levels and low white blood cell counts and a few other lingering symptoms(this could be from lexapro withdrawl). I am also dealing with withdrawal symptoms from lexapro and I am so mentally exhausted from it all. I never wish this pain on anyone. Thank you so much for posting his video because many people do not know serotonin syndrome exists. You are amazing Dr. Tracey

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      Did you take any other medication or supplements that raise serotonin???

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      What were your symptoms of serotonin syndrome,did the doctor immediately stop Lexapro???

    • @24tommyst
      @24tommyst Рік тому +2

      Yes! It is scary AF. Mine lasted two weeks and I wouldn't wish it on a serial killer--it was that bad. Hope your recovery went well.

    • @dejaliloquy
      @dejaliloquy 8 місяців тому

      That sounds awful. 😢

  • @Storm11117
    @Storm11117 4 роки тому +63

    I wish you were my psychiatrist. I'm having such a hard time right now with anxiety and depression, and having a lot of physical symptoms. I'm scared of meds and the first antidepressant I tried gave me tremors. You are so intelligent and comforting.

    • @fourhumors9414
      @fourhumors9414 4 роки тому +3

      Dont trust her she is part of the system, she will only get you on meds and keep you on meds. Trust yourself and believe in yourself. Big Pharma only wants users not to have anyone be independent and free.

    • @margaretr5701
      @margaretr5701 4 роки тому +18

      @@fourhumors9414 I haven't found this Doctor promoting medication, but I have noticed she recommends natural remedies. Either way, some people need medications or they suffer. Your advice could be damaging.

    • @Shurmash
      @Shurmash 3 роки тому

      Look into black seed oil.

    • @tyroniussupapookiemcleroy1403
      @tyroniussupapookiemcleroy1403 3 роки тому

      How did everything work out?

    • @AmariJade11
      @AmariJade11 3 роки тому +2

      Yeah, same. I started taking Latuda and experience weird uncontrollable movement, severe feelings of agitation. I told my doctor and she increased the dose to 80mg from 20mg. I took it a few days and one day I felt like I was literally losing my mind. I couldn’t sit still could eat sleep nothing. I had to be admitted to a psych hospital and they put me on all kinds of meds. I just don’t feel up to staying here anymore I’m ready to go. I just want to sleep and never wake up I don’t mean to sound so miserable but I feel tired like a different heavy kind of tired.

  • @QuiltLady
    @QuiltLady 4 роки тому +26

    As a retired RN may I suggest that everyone take their meds or a list of current meds, including over the counter and herbals when going to any doctor. Also make sure each doctor has a list of any other doctors you see, especially the information for your Primary Care doctor. I am older so have a med planner. A small calendar to write down new noted symptoms no matter how small and the days and times the occur is very helpful to your doctor in helping you. Don’t be afraid to use your pharmacist too. Save and read those pages the pharmacist gives out to you with each new medicine. Dr. Marks you are an amazing and kind physician. I am a retired RN but love to still delve into all things medical. Take care of yourself. I also enjoy and learn from everyone’s comments. Thank you.

  • @dark_baphomet
    @dark_baphomet 2 роки тому +25

    Thank you for clarifying, I’ve found a lot of the symptoms look similar to the side effects on the leaflets and I know it can be fatal so I was quite worried, but now I know the more in depth symptoms serotonin syndrome has and how they differ to regular side effects I know what to look for and when not to worry, so thanks for putting my mind at ease

  • @briagolliday711
    @briagolliday711 4 роки тому +13

    This video really demonstrates how important it is to tell your health professionals what medications you are currently taking. If anyone is like me, sometimes you don't feel like listing (seemingly unimportant) medication after you've filled out multiple pages of paperwork.
    P.S. I love your videos and the VALUE you are providing to the world and people who need it most!! UA-cam algorithm brought me to your channel. Not by coincidence. Thank you, sincerely!

  • @emmae8255
    @emmae8255 4 роки тому +21

    Your videos helped me review for the LMSW exam and I passed yesterday! Your videos are great for clinicians too!

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +4

      Oh wow that’s really cool! Congrats on passing your exam 👏🏽

  • @tomiirone1
    @tomiirone1 4 роки тому +12

    One of the things that I like about you DR Tracy Marks is that you make us aware of things that a normal medical Doctor can't.

    • @mattjack3983
      @mattjack3983 Рік тому

      That because she's a psychiatrist, and specializes in medications, and must know and understand their effects. Same with a registered pharmacist. MDs also understand the effects of the medications they prescribe, but I'd imagine that a psychiatrist or pharmacist has a much more in depth understanding.

  • @ThoseHappyHips
    @ThoseHappyHips 2 роки тому +2

    I just had this. My doctors have been trying to figure out why I have been so sick for the past 4 months, that was when one of them put me on a new antidepressant without bothering to check my other medications. Otherwise she would have seen I was already taking a pain med and migraine med that would increase the risk is serotonin syndrome. I have never felt so crappy than in the past few months and I'm so glad to have a new Dr that immediately saw I shouldn't be taking that mix of medications and knew what the long list of symptoms meant. Thank you for the video for giving me more info on the topic!

  • @cartonriley
    @cartonriley 3 місяці тому +2

    Thank you so, so much. I'm on a drug-induced mania at the current moment, brought on my a combination of two SSRIs, Zoloft; and Prozac. I still don't know if I'm a hypochondriac and am just flummoxing myself into thinking I have SS, but you saying that you had never even seen someone be HOSPITALIZED let alone die of it really helped calm my mania.
    Thank you, Doctor.

  • @mariabadgers9601
    @mariabadgers9601 3 роки тому +6

    2/3 hospitals told me i was faking it. Then the 3rd had to resuscitate me. More hospitals and ERs need to hear information like this :( ty for this video

  • @t3hsis324
    @t3hsis324 4 роки тому +11

    So glad that you're shedding light on this. I havent looked, but I would be very interested on your take on how many psychiatric meds have an impact on weight and possibly can lead to cormid diagnosis of diabetes. Diabetes can lead to some serious complications and I feel like this is not properly discussed openly with those who are qualified. While I have made the personal decision to stop medication, as a diabetic I feel it is something that needs to be brought to the public's attention.

  • @Roxanna.wez5671
    @Roxanna.wez5671 4 роки тому +24

    Thanks to Sage for asking this question and to Dr. Marks for your thorough explanation (as always) 👍

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +2

      You’re welcome Wez Zew and thank you 😊

    • @nottsork
      @nottsork 4 роки тому

      @@DrTraceyMarks sorry doc but you are wrong ..... unless someone is abusing tramadol to levels which could rapidly become lethal there is very little that opiates will do if being taken as prescribed. If you are getting high off opiates , then they are not needed since the analgesic is not being used up and instead it is making you high. This is drug abuse not prescribe use

    • @margaretr5701
      @margaretr5701 4 роки тому +2

      @@nottsork the Doctor is talking about possible multiple drug interactions, not appropriate, or inappropriate, use of opiates.

  • @user-wk1oh2ul6q
    @user-wk1oh2ul6q 3 роки тому +7

    My old Psych doc muttered serotonin syndrome under her breath before putting me on way too many medications that did cause me to get serotonin syndrome. I had it last November/December and I'm still recovering from it. Was one of the worst experiences of my life. I'm thankful I'm on my proper medication now 🙏🏽

    • @mattjack3983
      @mattjack3983 Рік тому +2

      And you didn't bother to say anything when you heard her say that???

  • @rhondakorber3660
    @rhondakorber3660 4 роки тому +6

    Hi Dr Tracy! I love u videos and follow weekly. I ve had depression and anxiety for years treated by my primary care but my panic attacks have been so bad lately and listening to you I finally got the nerve to see a psychiatrist for the first time. She has helped me so much already. She said of course I had depression and anxiety but PTSD, which I never knew. I had a been abused my entire childhood and 22 years of a bad marriage mental abuse but never thought I had that. It is starting to make sense now. She started me on two medications as she said therapy and medicine will help with my PTSD but there is no total cure but maybe I will get part of my life back😊

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +2

      Oh great Rhonda it sounds like you’re on a really good track now. Its totally fair to believe you can get a good part of your life back. Realistically yes they’ll still scars left behind but you can feel better than you have been feeling especially with trauma therapy

  • @carris3ringcircus390
    @carris3ringcircus390 4 роки тому +63

    I was on 2 Antidepressants and Tramadol. I fell out in a Grand mal seizure, my hubby had a hard time getting me to the ER, I was fighting him but I don't remember. After getting to the ER I had more seizures and my heart rate was in the 200s for hours. I was I ICU for 4 days.
    They called it Severe Serotonin Syndrome

    • @meganleigh6611
      @meganleigh6611 4 роки тому +8

      What antidepressants were you on if you dont mind my asking? I'm currently on Lexapro and I'm having some major episodes where I'm getting disoriented/forgetting things, heart racing, and light sensitivity with weird feelings like I'm about to have a seizure. Just wondering if maybe you were on lexapro at that time if you dont mind answering that publicly.

    • @meganleigh6611
      @meganleigh6611 4 роки тому +7

      Also, I'm sorry about your experience. It shouldn't be this hard to feel okay, but you're strong for making it through that and continuing to work on your mental health.

    • @carris3ringcircus390
      @carris3ringcircus390 4 роки тому +2

      @@meganleigh6611 I was on Celexa and Wellbutrin. Not sure about the spelling. To those

    • @meganleigh6611
      @meganleigh6611 4 роки тому +3

      @@carris3ringcircus390 okay thank you! I hope you've recovered well from that incident. 🖤

    • @carris3ringcircus390
      @carris3ringcircus390 4 роки тому +7

      @@meganleigh6611 Thank you. I did. It's been almost 4 years ago. To make it even worse, I was almost 4 months pregnant when it happened and didn't even know. I lost the baby the day after I got home on Christmas.😥 I hadn't been feeling good for a while anyway, so I guess I just didn't think much about it.
      But it should have never happened, My doctor should have known better. Even the Pharmacy should have caught it. That's what the Doctors at the hospital said anyway💁
      So glad I'm past all that❤ Good luck to you, And pay close attention to your body even ask people who are close to you to tell you if something seems off.

  • @Elektra_7
    @Elektra_7 4 роки тому +10

    That was a really enlightening video. Especially the reference to other meds that raise serotonin.

  • @sirflufybuns
    @sirflufybuns 2 роки тому +18

    I actually just dealt with/still experiencing serotonin syndrome. The weirdest part is that I only got it from starting one drug with serotonin in it. It didn’t end up being bad but it’s probably the worst drug interaction I’ve had. I’m also going through some Xanax withdrawal symptoms even though I only took less than 0.5 mg.

    • @OneDayChange
      @OneDayChange Рік тому

      How long were you taking the xanax?

  • @syed.muhammadali
    @syed.muhammadali 4 роки тому +9

    Thank you Dr. Tracey for a calm and detailed explanation. I was getting a little anxious about this for myself but after watching you it all just went away. Thank you and God bless you.

  • @aaronboyce6682
    @aaronboyce6682 2 роки тому +1

    I have learned so much from your videos! I’m a special education teacher, and many of my students have mental health related concerns. Your videos help me to understand the nature of mental health problems and therefore support my students better.

  • @melodyvoss
    @melodyvoss Рік тому +1

    I'm the first person that you've heard of with this now.
    I spent 6 hrs yesterday (my b-day of all days) in the ER with serotonin syndrome. I couldn't walk on my own due to severe shaking. My BP was 158/90! My muscles were rigid & even my neck & throat were hard. I noticed a few days prior that I thought my arm was twitching a little. I had been on zoloft for 6 wks & the dose was increased after 4 wks from 50 to 100 mg & then increased to 200 mg on 4/26. I felt a little 'off' on 4/30, but I thought it was due to drinking too much at my b-day party the night b4. I was having a bit of trouble talking. I'd start & pause a lot during each sentence & flip flop words & forget words. I went out again on Saturday & I was exhausted before I even left my house at 9 pm. I could barely eat dinner & was still feeling out of sorts. When I got home at 2 a.m., I had really rigid muscles when I got in bed. I just couldn't relax at all. I took all my meds, which included a muscle relaxer, 200 mg zoloft & 400 mg lamotrigine. Then I fell asleep. The next day, I started shaking & told my husband I thought I had signs of Parkinson's. The shaking of my arms started later in the evening & by the time I went to bed, they were shaking a lot & so was the rest of my body. In the morning, I wasn't shaking right away, but an hour after getting up, I started shaking uncontrollably.
    My doctor's office told me to go to the ER. I was given a cat scan, blood work & everything about me was checked out. My blood work came back normal & my BP was 158/90!! I was given Ativan to make me relax. I fell asleep & woke up feeling better. When that wore off, I started shaking again. Today, I'm still shaking. I feel like a dashboard holu dancer wiggling all over.

    • @24tommyst
      @24tommyst Рік тому

      Sorry to hear that, it's a terrible thing, I know. Did it finally go away?

  • @hulda4ever
    @hulda4ever 9 місяців тому

    I had to go to the hospital 4 days ago with serotonin syndrome, I was on Stesolid 5mg for 2 days and now I'm feeling better but I am still so anxious that I'm still sick, I'm so afraid of losing my life! But I think I'm better since I haven't taken stesolid for 48 hours and my muscle twitching and pacing have gone down so much! Thank you so much for this video it really cleared up some of the things I thought and made my mind feel at ease!

  • @Kingboo1081
    @Kingboo1081 4 роки тому +16

    I had Serotonin Syndrome about 3 months ago. It was AWFUL. It happened because I tried to OD. I took my regular antidepressant (Fluvoxamine) and a MAOI (an old antidepressant I had left in the cupboard). It was the worst experience I’ve ever had. It’s made me never want to try and OD again. Mine resolved within the 24 hour time frame and they had me take Cyproheptadine for a few days.

    • @SteeleMagnolia
      @SteeleMagnolia 4 роки тому +3

      Jamie, I'm sure I won't be the only one suggesting that you find an antidepressant, maybe one that has actually worked in the past, and stick to it. I can speak from personal experience, with a lifelong battle with depression and CPTSD, stemming from a childhood in a toxic environment.
      When I would get to feeling better, emotionally, I would stop taking my antidepressants, thinking "Ok, I got this, and I don't need meds any longer"...WRONG. Depression is guaranteed to return, if that's the only remedy you are utilizing to treat it. Exercise and hobbies are a great ADDITION to antidepressants. The rollercoaster rides I've subjected myself to with the on-and-off-again regiments of antidepressants has prolonged my suffering. Never again will I stop taking them.
      Also, personally, I would recommend not wasting your time and money on counseling visits. You can find some great information and better insight with videos like these, and believe me, this doctor is terrific.
      So do yourself a favor and stick to your antidepressant. If the pain and discomfort of attempting suicide got your attention, I don't think you are serious about ending it all. I don't say this lightly, or to question your choice of existing, but your focus being more on the uncomfortable aspects of the act tell me that you are extremely depressed, and just want a quick fix. This can be a lifelong illness.

    • @HisDearMissK
      @HisDearMissK 3 роки тому +1

      @@SteeleMagnolia I thought I could taper off my antidepressant-Effexor XR as things in my life improved...I was told that I will probably be on my antidepressant for the rest of my life. That's cool. Now I know

    • @wattsnottaken1
      @wattsnottaken1 4 місяці тому

      Did you recover?

  • @robasiansensation3118
    @robasiansensation3118 Рік тому

    A few years ago I was on Tramadol for pain. I got a bad cold and was given some kind of cough medicine that sent me into serotonin syndrome at one in the morning. I was CONVINCED I was dying. I knew it. I was racing. my mind was full of the highest anxiety and feeling of overwhelming doom. I tried to call my doctor at three in the morning. tried to go the ER at four in the morning. IT WAS TOO MUCH. the bright lights, all the people, I literally ran back to the car and rode it out at home. It was the WORST. And it was the same doc that prescribed both to me. I have switched docs, and off all of that crap. Thank you for the video, because not many people know about this.

  • @Topbrass88
    @Topbrass88 3 роки тому +12

    Thank you for sharing. I recently experienced a severe case of seritonin syndrome. I am on several antimigraine medications and antidepressants. I was with a bunch of friends and since it has become legalized in my state, I was offered a puff of marijuana. It wasn't laced at all as everyone else was fine. That little extra just put my body into full seritonin syndrome. Vomiting, convulsions, confusion, profuse sweating were some of my immediate symptoms. I had to go to the hospital and was discharged the next day. It was one of the scariest times in my life

  • @andreachueca2694
    @andreachueca2694 4 роки тому +4

    Thank you for talking about this !!i had something like this after starting with paroxetine 20 mg while also taking st. johns worth, diziness ,agitation and my pupils were huge for almost 4 days until i stopped the meds and then it went away on its own. when i bought it up to my psych after doing some research and he didnt know what i was talking about.

    • @QuiltLady
      @QuiltLady 4 роки тому +1

      Andrea Chueca Pharmacists now have information and references for all OTC vitamins, minerals and herbal meds that can interact with prescription meds. Even things like eating too much licorice can effect your heart, drinking grapefruit juice with some meds can cause major changes in a meds effectiveness, sometimes increasing the effect or decreasing the effect. Be safe.

  • @DevCoffey
    @DevCoffey 4 роки тому +5

    Thank you so much for making this video!! I was prescribed Imitrex a few years ago for chronic migraines. I was also taking Zoloft and Mirtazapine at the time for depression. I had no idea that my “side effects” from the imitrex may have been serotonin syndrome! I only took it once or twice because it caused my muscles to become really stiff.

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      Do you still use mirtazapine and Zoloft together ???I use mirtazapine and Lexapro together ,it never bothered me before but now I am scared

    • @DevCoffey
      @DevCoffey 3 роки тому

      @@Србомбоница86 I wasn't referring to a direct correlation between the Zoloft and Mirtazapine specifically, I meant the affects of taking those drugs along with Imitrex (a prescription migraine medication). I'm currently taking Lexapro and Mirtazapine, and I've never experienced any negative effects or interactions between these two antidepressants.

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      @@DevCoffey oh I understand now😊what's your dosage of each of those meds(Lexapro and mirtazapine)?

    • @DevCoffey
      @DevCoffey 3 роки тому

      @@Србомбоница86 Lexapro: 20mg
      Mirtazapine: 15mg

  • @abellexoxo3638
    @abellexoxo3638 3 роки тому +1

    I recently was diagnosed with Serotonin Syndrome; I am pregnant and was experiencing 'Hyperemesis Gravidarum', thus, I was put on multiple anti nausea medications (of which boost serotonin). I was on LEXAPRO long-term (antidepressant), alongside VRAYLAR (atypical antipsychotic - long-term) and experienced severe symptoms of Serotonin Syndrome. More information needs to be publicly, and medically, available because this is not a well known condition - half, if not 80% of, the doctors and pharmacists that I've been in contact with weren't even aware of this condition! I had multiple doctors prescribing me serotonin boosting medications without even taking a look at what other serotonin boosting medications I was on; it's appalling to see such a lack of cohesive, educated care towards patients!

  • @GLGC688
    @GLGC688 3 роки тому +13

    This can happen very quickly in people with mast cell disease and dysautonomia. One pill of Zoloft sent me to the ER. Initially I thought it was an allergic reaction, but it happened again with each SSRI I was tried on.
    I have a mast cell disease and it makes my body very hyperreactive to medication. In the ER, though, I was treated as a psych patient instead. I would have all the symptoms including the clonus and rigidity and significant confusion and word slurring and they consistently treat me as if it is "panic attacks."

    • @PotatoChipse
      @PotatoChipse Рік тому +1

      I took myself to emergency in the hospital and was told i was having a panic attack by a consultant!.
      The junior doctor didnt know what was going because i had tremors and a stutter then asked the consultant. Consultant came in and spoke a load of bs and i asked “so do I continue to take my meds or do i stop?” He told me its up to me because every medication has side effects 🤡

    • @samirah4423
      @samirah4423 Рік тому +1

      @@PotatoChipse well that’s no help at allll :/

    • @kaylaberry7983
      @kaylaberry7983 Рік тому +1

      Wow, mast cell after mold exposure and dysautonomia after mold exposure here. This makes sense why SSRIs have wreaked havoc when I try them and they vamp up my nervous system. I won’t be trying anymore of them but I really need to find something to help all of these symptoms. I’m so up and down all the time!

  • @margottfon330
    @margottfon330 4 роки тому +122

    Conclusion: if you have a "mild" form of the serotonin syndrome, you're NEVER diagnosed, never die, but spend the whole life in the state of being dead.

    • @Cathy-xi8cb
      @Cathy-xi8cb 3 роки тому +4

      I just wrote this syndrome into my new book on managing health and trauma. If you understand the triad and are able to show the timeline of dosing and symptom evolution, you have powerful ammo to speak with your healthcare provider about your symptoms and get the care you need.

    • @keto4life197
      @keto4life197 3 роки тому +7

      Exactly i have been low since brain damage as teenager and i am now near 50 years old and two months since i got the medication i need for the first time. And just because i was able to diagnose myself and tell my doctor what i needen.

    • @yardartistry4121
      @yardartistry4121 3 роки тому +7

      @@keto4life197 be very careful about ssri's they fix one thing and put you to struggle with one thousand!!
      I promise!!
      Stay away from quimicals for your brain

    • @mentos93
      @mentos93 3 роки тому +6

      @@yardartistry4121 yeah ssri made me worse. Never going to take that crap again..

    • @TudyAB
      @TudyAB 3 роки тому +1

      i mean that is true

  • @DanielE15
    @DanielE15 4 роки тому +7

    Thank you for acknowledging mild to moderate cases. I've had mild a few times with the agitation. However one time after adding buspirone 10 mg tid to sertraline 50 mg I developed a 102 degree fever, BP of 180/120, pulse of 100-120 constantly, diarrhea, twitching, dilated pupils, agitation. Treated at home by tapering down buspar and Klonopin. I told doctor I had serotonin syndrome and she said, "If you had serotonin syndrome you'de be in the ICU and delirious. You might have had the flu, it's flu season." Frustrated me, I took it as gaslighting because I knew damn well I didn't have respiratory symptoms. I now know I have to be careful. Never had anything as severe as the buspar but every 150 mg of lithium I've added (on 300 mg now), I've had to taper down fluoxetine by 20 mg so from 80 mg to 40 mg now as I felt agitation coming on each time which resolved after a few days when I cut back Prozac and started more lithium again. My BP will go up too quite a bit even in my mild cases that lasted for weeks since I thought they were anxiety. That's why I think it's very important for psychiatrist to monitor BP, I think it's a crucial aspect being overlooked in most of the new psychiatry telemedicine platforms.

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +2

      You’re welcome DTM I bet that was frustrating to be dismissed like that. And good point with the blood pressure monitoring with telehealth. I would guess most people who don’t have regular blood pressure issues don’t have a blood pressure monitor at home.

    • @j.h.miretskay3430
      @j.h.miretskay3430 4 роки тому +1

      Dr. Tracey Marks - Is it possible to get Serotonin Syndrome from a stimulant? The symptoms that you were describing seemed pretty identical to what I was experiencing when I took (prescribed) Adderall back in college.
      Is it also possible for stimulants to cause NMS-like symptoms? When taking Adderall - and especially Vyvanse - I would notice significant muscle rigidly, difficultly with fine and gross motor movement, and this bizarre difficulty swallowing - almost as if my body forgot how to swallow, if that makes any sense. It was also difficult to think, and my mind felt completely “blank”.

    • @DanielE15
      @DanielE15 4 роки тому

      @@j.h.miretskay3430 I had that too with Vyvanse. Yes, stimulants can cause Serotonin Syndrome. Put Vyvanse and any other medications you are taking into an online drug interactions checker and it will pop up that it does.

  • @valeferht
    @valeferht 4 роки тому +59

    The syptoms are very similar to a panic attack, so now i have to tell my health anxiety filled mind that i'm not dying 😅

    • @ashleysblues5284
      @ashleysblues5284 4 роки тому +3

      same ! 😭😂

    • @Cathy-xi8cb
      @Cathy-xi8cb 3 роки тому

      Moon: You need the whole triad, even with mild serotonin syndrome. That differentiates it from panic attacks. Watch her video on heath anxiety it will help you.

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      Yes ,it scares me 😨😨

    • @Brittanyjj90
      @Brittanyjj90 10 місяців тому

      Oh health anxiety is horrible. I suffered SS from taking zofran and going straight into 36 degree heat under the sun. I felt weird like I wasn't myself and I started to progress over a couple of hours it was horrifying.

  • @sethmclaughlin9765
    @sethmclaughlin9765 Рік тому +2

    I'm so glad I learnt about seratonin syndrome and checked my drug interactions, I started fluoxetine a few months back and my dr prescribed me quitiapine at 25mg to help me sleep. Each night I took the quitiapine I felt worse and then one night I had blood when I went to the toilet and I thought nothing of it, later that night I started feeling manically euphoric, had a rapid heart rate and cold sweats. I called a ambulance and when they tooky blood pressure it was roughly 185/130 at 120bpm, I believe if I didn't go to the hospital and continued to take the quitiapine the next night I may have been in a much worse state and I think I might have died if I didn't stop the quitiapine when I did

  • @kathbutler2551
    @kathbutler2551 4 роки тому

    my daughter is recovering from an OD of Ciprolex...excessive tremors and eye sensitivity and many many muscle spasms..doctors have said due to the slow half life, it will take a few days before it resolves..two visits in 24 hours to hosp... all vitals and blood work is clear...it is heartbreaking to see my daughter this way....thank you for posting these videos.

    • @versatilehumanbeing6013
      @versatilehumanbeing6013 3 роки тому

      How much dose did she took and from how long she is taking please reply i am facing the sane symptoms

  • @maryw3052
    @maryw3052 4 роки тому +16

    I've had this...I even ended up with a heart arrhythmia (while in ER). Crazy because I thought I was having a panic attack but I was having so many symptoms at once even fever.

    • @addmee333
      @addmee333 3 роки тому +1

      what medication did you took,did you combine more medc or just one

    • @no_peace
      @no_peace 3 роки тому +1

      I had it too. I was on Lexapro even though it wasn't appropriate (I'm autistic not depressed or anxious) and they put me on a tricyclic and a yeast infection med, then i took NyQuil for a cold
      I don't think I have a lack of serotonin to begin with and I was on at least 4 drugs that increase the availability of it. I should have been on Adderall.

    • @no_peace
      @no_peace 3 роки тому

      Oh and trazodone
      They said "oh they're all such low doses"

    • @wavxy7454
      @wavxy7454 2 роки тому +1

      @@addmee333 oh boy I ended up in the psych ward and I was taking 100 mg of Zoloft for 3 years vaping nicotine smoking weed and what sent me into SS is when I took SHROOMS they said it was generalized anxiety disorder which is BS I low key had this unlimited tremors and doctors be working with so many other ppl they low key don’t give af what u have I know I had this for a fact I know I was being dumb but definitely had this for sure and doctors need to watch out for this

  • @altheaunertl
    @altheaunertl 4 роки тому +73

    Is that your child? Y'all are so cute together. 😊

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +50

      Thank you yes that’s my son 😊

    • @watcherwlc53
      @watcherwlc53 4 роки тому +14

      He is such a good sport!!

    • @49ersfoldem
      @49ersfoldem 4 роки тому +1

      @@DrTraceyMarks 😁

    • @ashleysblues5284
      @ashleysblues5284 4 роки тому +9

      Such a lucky child to have a mother like you!

    • @breath888
      @breath888 3 роки тому +3

      @@DrTraceyMarks The scene in the driveway cracked me up because I was thinking about it from the neighbor's view, lol. Your son reminds me of my boys. Your channel has been priceless, as mental illnesses seem to touch every family, especially these days.

  • @rebeccajones9757
    @rebeccajones9757 4 роки тому +2

    This explains so much. I haven't mixed anything or had serotonin syndrome like this, but I had less pain when I was taking antidepressants. The way I feel on painkillers is very similar to how I felt on Lexapro. Very interesting.

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому

      Yes that is interesting. Cymbalta doubles as depressant and pain medication

  • @michelletrout9921
    @michelletrout9921 4 роки тому +14

    Another confounding factor, I was fine until acute kidney failure raised the levels of Sertraline in my system because of my inability to excrete the drug. Just for a future topic, it would be interesting to hear your thoughts on reasons individual reactions to drugs vary.

  • @jmc7666
    @jmc7666 3 роки тому

    Would've been great to see this 6 months ago when you know, this started.
    Thank you for this video. More people need to be aware.

    • @ritomoshjuntaa2643
      @ritomoshjuntaa2643 3 роки тому

      Did you have SS ? Have you recovered from it and how lond did it take ?

    • @leealice9070
      @leealice9070 3 роки тому

      @@ritomoshjuntaa2643 I have this so bad it nearly killed me was put in coma. You never recover. Hope you don’t have this cruel SS.

  • @dolliedaze3609
    @dolliedaze3609 4 роки тому +3

    Thank you Sage!!!👏🏽👏🏽👏🏽. Dr Marks if I tell you God is so good!! Literally three days ago I was looking up, “what symptoms a high serotonin lab could cause?” The results had me shook! Exactly as you explained ( oh, I should have waited three days🤣😂) most of the symptoms I live with on the daily. What it also revealed is that it is so very important for doctors to know more about mental health, and how they may have to treat both body and mind. I have a neuroendocrine cancer, and suffer carcinoid syndrome. You happen to have elevated “serotonin” labs regularly. I now wonder how overlapping these diseases are, and now see why it’s been so difficult to treat this cancer. Thank you so much so this video 💜🦓🦄

  • @Ben-jq5oo
    @Ben-jq5oo Рік тому +1

    Always a big help listening to your talks Tracy. Thankyou. 🇦🇺

  • @dylanfurney8855
    @dylanfurney8855 4 роки тому +3

    Love you so much Dr Tracy. You care so much for us !
    Very few people have actually helped me as much as you have !! You’ve helped me immensely !

  • @eternal3ntity230
    @eternal3ntity230 2 роки тому

    You are a gift to humanity. Thank you. ❤

  • @williamwhitsitt2112
    @williamwhitsitt2112 3 роки тому +2

    You explained everything so perfectly and clearly along with a relaxing / soothing voice!
    10 out of 10!
    Definitely gonna subscribe
    Thanks for all the info, it more than helped me understand SS better!

  • @Froggythegremlin
    @Froggythegremlin 3 роки тому +1

    You are such a sharp and with it person. Thank you!!!

  • @claytonavila7707
    @claytonavila7707 4 роки тому +13

    I changed my meds by my own from fluoxetin to paroxetin, after 4 days I went nuts... Really anxious, motor agitation, thought racing... I went to the hospital at 1am walking for 2 hours and always running sometimes for fear of being chased.... The doctor was very prejudiced and asked me if I had cocaine.... I said no... She gave me a pill and sent me home...... Sad...

    • @lmfao.9893
      @lmfao.9893 4 роки тому +3

      dude that’s literally me right now almost, i took prozac but it didn’t work for me, so then my physc decided to focus on my adhd and i started adereall two weeks ago and then it’s been good but then my doctor decided to give me lexapro- and it’s been two days and i feel like my hearts been beating faster then usual, i feel confused, i feel shaky even while typing this, i my stomach hurts so so bad, and my body keeps twitching- LMAO IM SCARED but i hope everything works out for you lol.

    • @blueraspberrylemonade32
      @blueraspberrylemonade32 4 роки тому +2

      I hated paroxetin

    • @rebekahb5275
      @rebekahb5275 3 роки тому

      Same. All I had was Prozac but I guess it was the wrong med for me. I had terrible panic attacks constantly and I would shake so hard I’d wake up in the night multiple times

  • @andreadawngilpin3054
    @andreadawngilpin3054 3 роки тому +3

    Wow, a lot of the stories below describe my experience. At the time it wasn't recognized. Instead I was treated for an "apparent overdose" in the emergency department via NG tube and charcoal. The illness came on abruptly. I was disoriented, had dilated pupils, tremor, high blood pressure, incoherent speech, extreme anxiety, etc... My recollection of the illness is poor.
    For years I thought it was an SSRI induced mania. At the time I was on a very high dose of Prozac and a lot of other psychiatric medications. I recently learned what it was by reading my medical records and discussing my findings with my doctor.

    • @QwerAsdf-vs8pz
      @QwerAsdf-vs8pz 2 роки тому

      How did they fix it? I’m currently in a similar position but it feels like everybody just thinks my illness got worse...I’m feeling really defeated and am just about ready to give up on life, what should I tell my doctor?

  • @doyoureadme94
    @doyoureadme94 Рік тому

    The scariest experience of my life was this Friday. I took one 5mlg Citalopram tablet for the first time at 10:00am and by 10:40, I was losing all bodily control having difficulty calling an ambulance because my hands were seizing. It was just me and my 3 year old home alone. I never saw it coming. Never new it was possible. Never wished for death before in my life. It is 4 days later, Monday evening, and so am still struggling to regain smooth motor control, and I also began to notice small traces of intestinal bleeding… I now know that SSRI’s increase the chance of intestinal bleeding by 40% and so guess so just got unlucky..i just lay in bed intermittently crying, because I don’t understand how I could live through that or how it could have last so long. I feel so bad for my daughter that she had to see her mom like this. I couldn’t even comfort her for the first few days.

    • @doyoureadme94
      @doyoureadme94 Рік тому

      I’m not even going to go through and edit my errors. My hands hurt after all this mess. If you know you know, and I am sorry.
      I also find it important to note I do not condemn medication for mental health. It is just clearly not medically meant for all of us.

    • @doyoureadme94
      @doyoureadme94 Рік тому

      The light sensitivity..this is the first time I have had had confirmation that that was also a symptom. My eyes still hurt.

  • @dejaliloquy
    @dejaliloquy 8 місяців тому

    Very elegently articulated. Thank you doc!

  • @michaelhill5514
    @michaelhill5514 4 роки тому +6

    Please add to your video that addition to meds causing serotonin syndrome supplements can also have the same effect as the meds like SAMe & 5-HTP, also people who have bipolar can also become hypomanic

    • @BeingBetter
      @BeingBetter 4 роки тому +1

      I have bipolar 1 and I take 5HTP. I'm very aware of both mania being caused by it (it hasn't caused it for me) and serotonin syndrome (I've never had it).

  • @NirvanasHoles
    @NirvanasHoles 4 роки тому +5

    You’re a godsend 🙏 thank you from the bottom of my heart for the amazing knowledge your channel gives me.❤️

  • @laylasvlogsandco.6573
    @laylasvlogsandco.6573 4 роки тому +1

    Your videos help my friend so much thanks for making her strong !

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +1

      You’re welcome. I’m so glad. 👍🏽

    • @laymadissquad3637
      @laymadissquad3637 4 роки тому

      @@DrTraceyMarks hi dr tracey, my friend wants to know if kids can get bipolar disorder?

  • @barbaramalbroux5358
    @barbaramalbroux5358 4 роки тому +2

    Thanks for a very thorough explanation

  • @KenBaillargeon
    @KenBaillargeon 8 годин тому

    The doctor I had was actually NOT A Dr. For over a year six different medications gave me serotonin syndrome FOR OVER A YEAR!! TWO DIFFERENT HOSPITALS THAT I WENT TO DIDN'T FIGURE IT OUT!! I lost all my muscle mass and ended up bedridden until on QUORA I asked what was wrong a Dr. In Pollard saw My med list and said you have serotonin syndrome the 400 mg of ....,,, alone is enough to give you that all those meds increase that all day! I was 317 pounds went down to 172 pounds and two years later still trying to rebuild my body. I now listen to Dr Ken Berry and stay away from the Pharmacy. He is the best of the best.

  • @heidithornton3439
    @heidithornton3439 4 роки тому

    What a clear, complete class! Good teacher.

  • @suzannall
    @suzannall 2 роки тому

    I wish you had been my Dr in the ER last Friday when I went in with serotonin syndrome. I told them exactly what I had taken, Cymbalta for depression as well as Flexeril and Tramadol for relief of pain from a surgery I had and Bactrum because I got an infection in one of my incisions. I had pretty much all the symptoms and told them that I believed I had SS but they didn't believe me. They just gave me fluids through an IV some valium and discharged me. It was the scariest day of my life, thank God it wasn't my last.

  • @BonikaShears
    @BonikaShears Рік тому +1

    My daughter was in the hospital over a week. It was not diagnosed until she figured it out later by researching it herself. Was being treated for fibromyalgia, uti and diarrhea at the same time.

  • @amber76OH
    @amber76OH 4 роки тому +2

    I love your videos. I wish I could find an intelligent, caring, psych doctor like you near me. 😧

  • @toasted_.coconut
    @toasted_.coconut 4 роки тому +6

    I had serotonin syndrome several yrs ago. I was on Prozac and abusing cough medicine. I had a high fever and was rush to the hospital. Because I was unable to really communicate what I had been doing the hospital at first thought I had a stroke. For weeks afterward I was miserable. I had little short term memory, I was very moody and I felt out of control.

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +1

      Oh my goodness that sounds terrible. I’m glad your past that. This really can become a problem when you take into account common things like cough medicine contributing to it

    • @rachellpenaojas2010
      @rachellpenaojas2010 2 роки тому

      How to tell the doctor's about this?

    • @wattsnottaken1
      @wattsnottaken1 4 місяці тому

      Did you recover?

  • @brookehammett2420
    @brookehammett2420 3 роки тому +1

    Great info. Important to note that many street drugs-like psychedelics, can cause seratonin syndrome.

  • @secondopinion53
    @secondopinion53 4 роки тому +1

    ALWAYS ENLIGHTENING!

  • @addysaw
    @addysaw 4 роки тому +9

    When I took Lexapro in 2018 (5 mg every day, which is a pretty low dose actually) I started hallucinating on day 13 of my treatment, and I had WIDE-OPEN eyes the entire time. The colors were so vivid and I felt extremely disoriented. I remember repeatedly being laughed in public because I basically looked like someone tweaking on meth. I ended up flushing the pills down the toilet, but I certainly didn't recover within 24 hours. Horrible experience.
    I'm not sure if that was serotonin syndrome or just severe side effects.

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      Those were side effects

    • @addysaw
      @addysaw 3 роки тому

      @@Србомбоница86 pretty extreme side effects!

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      @@addysaw that's a very low dosage for such side effects ,I only felt a bit more nauseous and anxious .Now effexor ugh ,I am still traumatized by the side effects of that medication to me

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      @@addysaw were you taking any supplements that raise serotonin ?or maybe Lexapro was just not suitable to you or you have sufficient serotonin and those 5mgs put you over sufficient amount of serotonin

    • @addysaw
      @addysaw 3 роки тому

      @@Србомбоница86 I'm interested how you felt/what side effects you had on effexor?
      That low dose of Lexapro made my anxiety skyrocket through the roof! I'm still traumatised about what the medication did to me.
      I wasn't on any other psychiatric medication before that point (except for Xanax for sleep)
      Later on what slightly worked for me was Wellbuterin

  • @yelahm4084
    @yelahm4084 4 роки тому +13

    What about Dopamine in the brain? Can you do a video about Dopamine problems in the brain?

  • @leiaorgana436
    @leiaorgana436 4 роки тому +4

    Thank you for always providing such useful and interesting information! This is my favorite channel. I was wondering if you might consider one day talking about the psychology of people who believe conspiracy theories. I’ve learned a little about biases that predispose people to distrust vaccines for example, but the QAnon phenomenon seems like something else, with ordinary people buying into ideas that should be unbelievable. From a psychological standpoint, what is happening? I feel this is important politically, yes, but I have also been reading about families being deeply affected when one member starts to believe these wild things and can’t be convinced they’re not real. Thank you for considering my question!!

  • @freiagalacar5786
    @freiagalacar5786 3 місяці тому

    For the past few days I’ve had unexplainable symptoms that I think are due to serotonin toxicity. I’m currently trying to switch from Paxil to Celexa so I’ve been taking both at the same time in an effort to ease the transition. I also take Trazodone for insomnia. I’ve been having headaches, a racing heart, high temperature, sweating, jittery, agitation/anxiety and body aches. Not a pleasant experience but I’ll hopefully figure it out soon.

  • @jeffvarley9792
    @jeffvarley9792 4 роки тому +1

    Great video. Dr. Marks you always present your videos so well.

  • @beachbumblog
    @beachbumblog 3 роки тому +1

    Thank you, I think I have a loved one going through a mild case now because of taking some cough medicine and not realizing. Sure wish more people were warned about that.

  • @allisonmoore8056
    @allisonmoore8056 4 місяці тому

    SSRI SYNDROME almost killed me and caused permanent neurological damage. I have a damaged central nervous system from M.S. and Lead poisoning. I was not on any other medication. ( I am thin, very healthy eater and was exercising daily). I developed cancer in 2022 and became depressed. I took a low dose of zoloft for 4 weeks - and I was feeling great. Then I had several neurological muscle spasms like seizures (falling down on ground for 2 -3 minutes with severe muscle spasms). Then I had tremors for 2 months and these weird neurological waves of tremors. Doctors swore to me it wasn't zoloft. I stopped the medication and slowly improved. 3 months later I started zoloft again and on day three I had a severe muscle spasm event - that landed me on the floor. It took over 1 year to recover. However I have permanent damage in my spine. NEVER AGAIN. Beware....

  • @dhsarah570
    @dhsarah570 3 роки тому

    awesome channel. you describe things so thoroughly and simply for us lamens out there.

  • @chrispowell1768
    @chrispowell1768 2 роки тому +1

    Thanks for this, I have been reading on this for awhile now. I was afraid when my doctor prescribed Buspirone 7.5 MG to be added to my Cymbalta where I now take 30 mg of Cymbalta and the Busiprone once in the morning together and once at night. I was afraid because every site I read not to combine the two. However, I have been fine so far. I haven't even experience the mild symptoms. That may change, but I will keep my eye out on it. Good point on the fact that just because it says there is a drug interaction, it doesn't mean that you will get the syndrome.

  • @ruby2zdy
    @ruby2zdy 2 роки тому

    Excellent presentation!

  • @catrandle9439
    @catrandle9439 4 роки тому +1

    Dr Marks thank you for the website. What a good idea.

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому

      Oh you’re welcome Cat. Bookmark it and you can always go back to it when you need to do a quick check. 😊

  • @JulieMaeThies
    @JulieMaeThies 4 роки тому +7

    I had to go to the hospital because of serotonin syndrome last fall. My muscles were jerking all over and I was having very mild hallucinations. I was taking more than one antidepressant and tramadol. I had no idea what was going on and when I almost fell down the stairs because of muscle rigidity I panicked and went to the ER where they said I had serotonin syndrome. I was worried I might actually die for a while there.

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +3

      Oh my goodness that sounds so scary. I am glad you recovered from that. 👍🏽

    • @priyankgusain6873
      @priyankgusain6873 2 роки тому

      ARE YOU SCHEZOPHERNIC.

  • @andrewburnett2581
    @andrewburnett2581 4 роки тому +1

    This is also why some people should refrain from taking hallucinogenic substances as they also increase serotonin levels.

  • @jesterlua
    @jesterlua Рік тому +1

    This really really eases my mind thank you so much.

  • @alanprice2010
    @alanprice2010 4 роки тому

    You have helped me so much. I ran to the doctor after 10 days after people noted dilated pupils, i feel agitated and restless and shivering sporadically. He sent me home and said they should pass but took TFT blood test. My BP was also slightly raised and feel a bit tachycardic.

    • @ritomoshjuntaa2643
      @ritomoshjuntaa2643 3 роки тому

      Im sorry you went through this. How did you get better ? How long did it take?

  • @selfhelpchampion9664
    @selfhelpchampion9664 4 роки тому +5

    Thank you Doc for educating us on mental health❤️🙏

  • @Brittanyjj90
    @Brittanyjj90 10 місяців тому

    This happened to me from taking zofran and going straight into 36 degree heat. I was unaware that I was not supposed to do that. Lesson learnt ! Scariest thing I've been through.

  • @DontCareBeare.5791
    @DontCareBeare.5791 4 роки тому +1

    This is Great information. Thank you for discussing it.

  • @krisztinakessel6869
    @krisztinakessel6869 4 роки тому +15

    Im so scared of this..i take two different antidepressants; my doc says its okay, but as i take them for anxiety , of course im afraid:)

    • @ladybaabaa3294
      @ladybaabaa3294 4 роки тому +2

      As long as you're not taking two antidepressants that are both SSRIs or a high dose of an SSRI and an SNRI, you should be perfectly fine. Often people take two antidepressants of different types, and they enhance each other in a positive way.

    • @krisztinakessel6869
      @krisztinakessel6869 4 роки тому

      Lady Baa Baa well, im not sure, as one is escitalopram, an ssri, and the other tradozone, not officially an ssri, but something similar, i think. But actually i have been taking the combo for just a few days, and it works really well. Thank you for your answer!

    • @ladybaabaa3294
      @ladybaabaa3294 4 роки тому

      @@krisztinakessel6869 Ah yes, Lexapro. How many mg do you take of each? If you've been on that combo for only a short while and it feels effective, then that's good! 🙂 Just be aware as time goes on if you do start to feel a bit weird. I'm not sure if excess serotonin accumulates and it can take a while to cause any issues (if ever).

    • @krisztinakessel6869
      @krisztinakessel6869 4 роки тому

      Lady Baa Baa hey, 15 mg lexapro and 150 mg of the tradozone. It seems great, the reason im worried is that i tried 20 mg lexapro once and it caused a mild case of serotonin syndrome. ( i took a bit more because i felt 95 percent well to make it a hundred, and instead i got really sensitive to light and sound and felt on edge all the time. It took three weeks to figure out why im not okay... and that was with one of the best docs in my country:))

    • @ladybaabaa3294
      @ladybaabaa3294 4 роки тому +2

      @@krisztinakessel6869 Yes, the last time I was on Lexapro I took 10mg and didn't notice too much, so upped it to 15mg after a few months, and I felt TERRIBLE! Like a depressed, lethargic zombie and my left foot would occasionally twitch!

  • @jgdwick4067
    @jgdwick4067 2 роки тому

    Very good information! Thank you

  • @sirenagarrido3836
    @sirenagarrido3836 4 роки тому

    I really like I found your video because for many years I have suffering for depression, anxiety and insomnia right now I am changing centers that’s give me therapy and psychiatrist treatment they were treating me with no respect and they change my medication without consulting or telling me and for more than a year I couldn’t figure out what to do at the end the tunnel I started looking for another place and thank god I found one I am starting this month and just see this people really trying to help me in many areas that I need help it’s unbelievable. I enjoy very your videos because I am learning a lot about my condition and finding the right hekp

  • @IoSapsai
    @IoSapsai 4 роки тому +3

    Have you encountered malignant neuroleptic syndrome in your experience? I kept hearing about it in pharmacology and related classes but never heard about anyone getting it in practice thankfully.
    Also, as a health professional myself, your videos help me a lot in understanding myself and my own patients. That also helped me get my diagnosis revised, my treatment changed and I got my life back! Thank you so much!

  • @ExploitMage
    @ExploitMage 4 роки тому

    best youtube channel

  • @kimkavanagh6665
    @kimkavanagh6665 4 роки тому +3

    I had serotonin syndrome back in October. What happens was I was taking Tramadol and my doctor decided to add Trazodone and I was already taking trintellix for my depression we thought that adding Trazodone what helps with my insomnia. At the same time I ended up having to go to another doctor and I did tell him all of the medications that I was taking and he added a penicillin antibiotic plus Ventolin inhaler and a steroid nose inhaler. I didn't take the steroid nose inhaler because I have issues with my sinuses. Anyway long story short my serotonin receptors were being flooded. I had severe serotonin syndrome and it was one of the worst experiences of my life. It felt like I had a thousand cups of coffee I could not sleep. It felt like my muscles were going to sleep if I stopped moving for any amount of time. I had hypertonia and Cronus and I actually felt like I was having a seizure only I knew I wasn't cuz I was conscious I could speak. I called 911 unfortunately had a bad experience in which the paramedics thought it was some type of joke and then at the hospital I need it 4/6 hours and did not see a doctor so I left saw my doctor the next day and my family doctor said that I was very lucky that has a nurse I knew to stop taking the medication and though I saw him just in time before it became fatal. I was put on a very high dose of Ativan and had to do a med wash out. I am now on fluoxetine for depression and anxiety and have switched pharmacies and they pick up on everything. I love how you explain this and show examples because that is what it feels like. and the muscle twitches I just absolutely insane you have no control over them and for me it was every muscle in my body was twitching. I think the nurses and paramedics that work in the emergency room should be educated and training to know the serotonin syndrome. even though I have been through serotonin syndrome I found this video very helpful

    • @DrTraceyMarks
      @DrTraceyMarks  4 роки тому +4

      Thanks for sharing your experience Kim boy that sounds awful. I’m so glad you’re on the other side of that but I’m sure it was super scary. Even though several people in the comments have said they have experienced this, serotonin syndrome is not very common. Probably because more cases are mild. All that to say I think that plays into why ER personnel may not recognize it because they don’t see it enough. That’s not an excuse though, they should get more training on it so it’s easier to recognize.

    • @kimkavanagh6665
      @kimkavanagh6665 4 роки тому +1

      @@DrTraceyMarks it was scary as i knew what was happening but could not stop it. Even my family dr said in his 37 years of practice he has never seen a case. Now he is afarid to add anything to help me sleep. Is there cereten antidépresseurs that dont go together?

  • @WhiteCloudLove
    @WhiteCloudLove 2 місяці тому

    my husband went into full blown psychosis, caused by an interaction with 2 different prescribed medications. No one ever warned us. I had to figure it out myself because obviously his 2 doctors did not communicate, nor did the pharmacy catch it. It was 4 day of hell!

  • @timothymason809
    @timothymason809 4 роки тому

    I have a high respect for psychiatrists in the ER. I have had SS everytime they try me on SSRIs, SRI and Tricyclic antidepressants. Symptoms: Red as a lobster, blurred vision, core temp feels super hot (iced my groin, arm pits, neck down. Could not think clear. Happened with Paxil, Prozac, Wellbutrin, etc. EKG was bad. admitted to ER with Klonopin and ativan. Kidneys felt like two hot bricks. The psychiatrist diagnosed it right off. I had a nerve conduction study and the orthopedist wrote me amitriptyline and I was currently on a 50 ug fentanyl patch. My speech was pressured. Melissa Talbert the psychichrist said if I had not come in again I would have died within 24 hours. It can be deadly. Since I have this serotonin level issue I am prescribed Klonopin twice a day which controls the anxiety very well. Concomitant use of benzodiazapines with opioid is approved when other methods are ineffective. Many opioids cause anxiety. I do not drink alcohol so no problems there. Another dose of an SRI, SSRI could be a death sentence in my case.

  • @joemay2640
    @joemay2640 2 роки тому

    Love your videos, your a fantastic doctor

  • @tomiirone1
    @tomiirone1 4 роки тому +2

    Based on all the symptoms that you described I suspect that I might have Serotonin Syndrome. The problem is that if I tell my Doctor about this, she will think that I'm just being anxious and that I have nothing to worry about.

  • @PerfumeCognac
    @PerfumeCognac 4 роки тому +4

    Hi Tracey. I recently was prescribed Wellbutrin for the first time ever, my therapist has been wanting to put me on ADs for over a year but I’ll be honest, they scare the living daylights out me. However, as of late my depression has gotten so bad that I was desperate enough to take the plunge. I’m on day 2 and I’ll be honest I feel like someone put bricks in a canvas bag and beat me with it, my doc AND the pharmacist both stressed I’d feel... odd for a few weeks while my body adjusted but I wasn’t prepared for this at all. I was wondering if you could do a video on just the initial phase of starting treatment, I know the experience is going to be different for everyone but there has to be a general baseline of things to expect that could make people a little more prepared. Any information you have would be greatly appreciated. You provide an invaluable service and I’m so grateful to have found your channel, sorry for the obnoxiously long comment. Take care ❤️

    • @smilesnluvd6526
      @smilesnluvd6526 4 роки тому

      I hope you're holding up well. The adjustment can be rough.

    • @Pureimagination200
      @Pureimagination200 4 роки тому

      PerfumeCognac I’m on Wellbutrin and it works great for me. I get energy and not hungry all the time plus no sexual side effects. Maybe your does is too high. I’m on 150 mg per day

  • @mohammadsh3519
    @mohammadsh3519 4 роки тому

    Thank you Dr. Marks. your channel is very informative.

  • @drankenstein5241
    @drankenstein5241 2 роки тому

    You rock and congrats on the 1M subs coming yo

  • @Janine61000
    @Janine61000 3 роки тому +1

    I was recently seen at the emergency room in Tifton, GA. Thank God I had witnesses! EMT & The hospital staff ALL said I was crazy, faking, possibly raped, a coke addict, and out of my mind. The doctor discharged me with a script for Tramadol!! Today I went to Urgent Care and got the correct care. I'm so angry about my experience.

  • @alexbfh1
    @alexbfh1 Рік тому

    Thank you for the video, it was really helpful

  • @helmuthahn1352
    @helmuthahn1352 10 місяців тому

    Wow, thank you, what an eye-opener.

  • @outsidethewall8488
    @outsidethewall8488 4 роки тому +1

    Thank you for this! Very informative!

  • @stalez5250
    @stalez5250 2 роки тому +2

    My brother died at age 25. He was depressed and took Wellbutrin and Sertraline. He did not overdose. Autopsy diagnosed serotonin syndrom because combination of the pills

  • @no_peace
    @no_peace 3 роки тому +2

    The reason for the increase is that your doctor labels all of your health issues "depression" and "anxiety." They do NOT test your serotonin levels and are literally guessing. It doesn't matter how high or low the levels are. If you're autistic and not yet diagnosed they will offer you zero treatment other than SSRIs and maybe tricyclics. It is very easy to develop serotonin syndrome in these circumstances

    • @no_peace
      @no_peace 3 роки тому

      I will never, ever take an SSRI again unless a doctor shows me objective lab evidence of something wrong with my serotonin levels

    • @Србомбоница86
      @Србомбоница86 3 роки тому

      @@no_peace absolutely agree with you ,I am traumatized of SSRIs and I don't even think I have low serotonin at all

  • @JanieO
    @JanieO 2 роки тому

    Very informative. Thank you!