Literature on adverse reactions to psychotropic drugs continues to confuse

EDITOR—Haddow et al describe a severe adverse drug reaction but create an oxymoron in describing clomipramine induced “neuroleptic malignant syndrome.”1

Clomipramine is not a neuroleptic and therefore by definition cannot cause this syndrome (any more than it can cause anti-convulsant hypersensitivity syndrome). The description is consistent with serotonin toxicity, a well described adverse …