Neurologische, neuromusculaire en psychiatrische pathologie
Neurologische, neuromusculaire en psychiatrische pathologie
Neurologische, neuromusculaire en psychiatrische pathologie
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Behandeling<br />
1) Stop alle serotonerge medicatie<br />
2) Supportieve maatregel<strong>en</strong><br />
a) Hyperreflexie/myoclonus: B<strong>en</strong>zodiazepines<br />
b) Epileptie: B<strong>en</strong>zodiazepines/barbiturat<strong>en</strong><br />
c) Koorts<br />
- Paracetamol, externe koeling<br />
- Sedatie, kunstmatige v<strong>en</strong>tilatie <strong>en</strong> myorelaxtie<br />
3) Serotonine antagonist<strong>en</strong><br />
- Cyproheptadine: 4-8 mg (max 32 mg/24 h) PO<br />
- Methysergide<br />
- Propanolol