Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jul-Dec;29(2):345-348.
doi: 10.4103/ipj.ipj_37_19. Epub 2021 Mar 15.

Linezolid-induced serotonin syndrome

Affiliations
Case Reports

Linezolid-induced serotonin syndrome

Anish Shouan et al. Ind Psychiatry J. 2020 Jul-Dec.

Abstract

Linezolid is an oxazolidinone antibiotic, which is a weak, reversible, nonselective monoamine oxidase A and B inhibitor; is known to increase serotonin levels, and has been implicated in the development of serotonin syndrome (SS). There is limited literature on the development of SS with linezolid, when used alone. In this report, we present the case of a 70-year-old female who developed features of SS while being treated with linezolid 600 mg twice daily for pneumonia. The SS in her case was managed with stoppage of linezolid, administration of cyproheptadine, and supportive measures.

Keywords: Delirium; linezolid; serotonin syndrome.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

References

    1. Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005;352:1112–20. - PubMed
    1. Butterfield JM, Lawrence KR, Reisman A, Huang DB, Thompson CA, Lodise TP. Comparison of serotonin toxicity with concomitant use of either linezolid or comparators and serotonergic agents: an analysis of Phase III and IV randomized clinical trial data. J Antimicrob Chemother. 2012;67:494–502. - PubMed
    1. Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin Syndrome. Ochsner J. 2013;13:533–40. - PMC - PubMed
    1. Kulkarni RR, Kulkarni PR. Linezolid-induced near-fatal serotonin syndrome during escitalopram therapy: Case report and review of literature. Indian J Psychol Med. 2013;35:413–6. - PMC - PubMed
    1. Frykberg RG, Gordon S, Tierney E, Banks J. Linezolid-associated serotonin syndrome. A Report of two cases. J Am Podiatr Med Assoc. 2015;105:244–8. - PubMed

Publication types