A 44-year-old woman presents with agitation, hyperreflexia, clonus, tachycardia and fever after starting tramadol while on sertraline. What is the mos...

Question

A 44-year-old woman presents with agitation, hyperreflexia, clonus, tachycardia and fever after starting tramadol while on sertraline. What is the most appropriate initial management?

Accepted Answer

Stop serotonergic agents and supportive care with IV fluids and benzodiazepines

Answer

Continue medicines and give propranolol

Answer

Start bromocriptine

Answer

Give dantrolene

Answer

Immediate haemodialysis

ukmla MCQ (SBA): Serotonin syndrome

A 44-year-old woman presents with agitation, hyperreflexia, clonus, tachycardia and fever after starting tramadol while on sertraline. What is the most appropriate initial management?