Drugs That Can Cause Serotonin Syndrome

Class

Drugs

Antidepressants: Monoamine oxidase inhibitors

Isocarboxazid

Linezolid

Phenelzine

Selegiline

Tranylcypromine

Antidepressants: Serotonin-norepinephrine reuptake inhibitors

Bupropion

Nefazodone

Trazodone

Venlafaxine

Antidepressants: Selective serotonin reuptake inhibitors (SSRIs)

Citalopram

Escitalopram

Fluoxetine

Fluvoxamine

Paroxetine

Sertraline

Antidepressants: Tricyclic antidepressants

Amitriptyline

Amoxapine

Desipramine

Doxepin

Imipramine

Maprotiline

Nortriptyline

Protriptyline

Trimipramine

Central nervous system (CNS) stimulants

Amphetamine

Cocaine

Diethylpropion

Methamphetamine

3,4-Methylenedioxyamphetamine (MDA)

3,4-Methylenedioxymethamphetamine (MDMA, or Ecstasy)

Methylphenidate

Phentermine

Sibutramine

Hallucinogens

Lysergic acid diethylamide (LSD)

5-Methoxy-diisopropyltryptamine

Herbs

Nutmeg

Panax (Asian or American) ginseng

St John’s wort

Syrian rue

5-Hydroxytryptamine (5-HT1) agonists (triptans)

Almotriptan

Eletriptan

Frovatriptan

Naratriptan

Rizatriptan

Sumatriptan

Zolmitriptan

Opioids

Buprenorphine

Fentanyl

Hydrocodone

Meperidine

Oxycodone

Pentazocine

Pethidine

Tramadol

Others

Buspirone

Chlorpheniramine

Dextromethorphan

Granisetron

5-Hydroxytryptophan

Levodopa

Lithium

Metoclopramide

Olanzapine

Ondansetron

Risperidone

Ritonavir

Tryptophan

Valproate

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