After reading all about serotonin syndrome at www.mayoclinic.com the night before, I did not waste any time getting Bob to the ER. This time I was ready. They decided to do more blood work and a thyroid test. We waited. They had given Bob a shot, so now he was calm. But I was not. Serotonin syndrome was all I could think about. The only way to get better was to stop taking the fluoxetine.
Thursday was a long day and Bob wanted to keep on the prescribed drugs because he wanted to get better....the relief from the shot of adivan did not last long. By midnight, he was shaking. It was a very, very long night. What was I to do. Do I take him to the ER again? Poor Bob suffered all night long with his "anxiety"...it was so bad by 5am that I called 911. Why? I was exhausted and just did not know what to do and Bob asked me to. When the EMTs got here, they were so nice. They did not administer any drug but suggested that he take 2 more lorazapam. They stayed with us for a bit until Bob got calm. The calmness did not last long.
I called our family doctor and the psychiatrist. After talking with our family doctor, I really felt he too thought serotonin syndrome but he wanted to talk with the psychiatrist. We had an appointment with her at 2:30pm and again, she said it was not serotonin syndrome. She did give us a prescription for 20mg(remember Bob had been taking 80mg a day) of fluoxetine.
I called my employer who is a chiropractor and asked him for some advice. He gave me his thoughts and called his friend who is a pharmacist. The first thing he said when he heard the symptoms, serotonin syndrome. I ended up talking with him for a bit and he convinced me to get on board with what the psychiatrist was saying but to watch him closely. So I did.
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