Discontinue treatment and any concomitant serotonergic agents immediately if serotonin syndrome occurs and initiate supportive symptomatic treatment. If concomitant use with other serotonergic ...

and dietary supplements as common serotonergic agents that could precipitate serotonin syndrome ( Table 1). Specifically, dextromethorphan, meperidine, tramadol, fluoxetine, citalopram ...