Citation

Al-Radideh O, Chan KH, Gupta S, Slim J, Bellary S. Cureus 2021; 13(4): e14497.

Copyright

(Copyright © 2021, Curēus)

DOI

10.7759/cureus.14497

PMID

34007750

PMCID

PMC8121124

Abstract

The use of serotonergic drugs has increased in the last decade especially selective serotonin reuptake inhibitors (SSRIs) with increased indications. Serotonin syndrome (SS) and QT prolongation are serious adverse reactions of SSRI use, they usually occur with concomitant use of two or more serotonergic medication. Herein, we are presenting an interesting unique case of SS and prolongation of QT interval after a suicidal attempt in a patient on isotretinoin with paroxetine overdosing. The prolongation of QT interval observed in this case could be related to isotretinoin synergistic effect. The risk of suicide and side effects of SSRI with isotretinoin, especially in patient with psychiatric illness would be a huge concern. This case hopes to raise the awareness of the risks when prescribing SSRI and isotretinoin in this group of patients.

Language: en

Keywords

overdose; isotretinoin; paroxetine; serotonin syndrome; qt interval prolongation