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Serotonin syndrome
Serotonin is derived from amino acid tryptophan and is naturally occurring in the body. In the
central nervous system it acts as a neurotransmitter and can influence mood, sleep, appetite
and various other brain functions.
Serotonin syndrome can occur with single drug treatment, but more commonly with drug
combination and/or misuse, or drug overdose.
If the syndrome results from improper use such as overdose, or prescribed drugs taken in
combination with self-prescribed drugs and/or intoxication, follow ACS 1901 Poisoning and
assign a code from T36-T50, followed by the symptom(s) and external cause codes. Separate
poisoning and external cause codes are required for each different drug type.
References:
Ibister, G, Buckley, N, Whyte, I. Serotonin toxicity: a practical approach to diagnosis and
treatment. MJA [serial on the Internet]. 2007 Jun 25; [cited 2011 March 29]; 187 (6): [4
pages]. Available from:
http://www.mja.com.au/public/issues/187_06_170907/isb10375_fm.html
Hill, M. Serotonin syndrome. Australian Prescriber [serial on the Internet]. 2003 Jun; [cited
2011 March 29]; 26: [2 pages]. Available from:
http://www.australianprescriber.com/magazine/26/3/62/3/