Clinical recommendationEvidence ratingReferencesComments
Prevention of serotonin syndrome requires clinical awareness of the toxic potential of serotonergic agents.C1 Education and use of drug interaction software may be helpful
Established criteria should be used to identify and diagnose serotonin syndrome.C1, 14 Hunter Serotonin Toxicity Criteria are more sensitive and specific than Sternbach's criteria in diagnosing serotonin syndrome
First-line management of serotonin syndrome involves withdrawal of the offending drugs and provision of supportive care.C19
Cyproheptadine may be used to treat moderate to severe cases of serotonin syndrome.C19, 20 Based on case reports