Intended for healthcare professionals

Rapid response to:

Practice Practice Pointer

Serotonin syndrome

BMJ 2014; 348 doi: (Published 19 February 2014) Cite this as: BMJ 2014;348:g1626

Rapid Response:

Re: Serotonin syndrome

Psychiatric drugs (stimulants, tranquilizers, and antidepressants) ostensibly help patients by correcting imbalances in neurotransmitters, like dopamine, serotonin, epinephrine (adrenaline), and norepinephrine (noradrenaline). Sadly, this simple paradigm doesn't pan out, and instead these drugs often hurt patients by creating serious neuropsychiatric problems, including violent behavior. Perhaps the real mechanism of action for psychiatric drugs is a folie à deux between doctor and patient, due to Big Pharma's pas de deux with medical schools, medical societies, medical journals, and the media.

Competing interests: No competing interests

23 February 2014
Hugh Mann
Eagle Rock, MO, USA