OK THIS SHIT IS NASTY- 12 days induced coma
I hope this helps someone.
"For moderate or severe cases of serotonin syndrome, patients should be hospitalized, and neuromuscular paralysis, sedation, and intubation may be indicated for critically ill patients."
I should in fact be dead a couple of times over according to a few of the doctors who attended me throughout my little adventure- (yes I am a little twisted and it was a hell of a ride but never again).
So I have just came out of hospital after 5 days then another 7 days in an induced coma (well one 5 day coma, pulled out, still incoherent and feverish, cramping blah blah, put back into induced coma for another 7 days, kept in ICU for another week on 4 hourly OBS and 8 hourly bloods).
My point- you don't want to f*ck with this one kids - I am a hard arse with an unusually high tolerance for anything- medications I had been on for at least a 4-5 month period leading up to this adventure:
Wellbutrin XL 300mg
Wellbutrin SR 150mg
Seroquel 150-200mg of an evening to help with sleep
400mg (2x 200mg per day) tramadol
some fine synthetic cannabinoid substance I am not going to disclose
1 GRAM PER DAY cocaine substitute I am unaware of the make up of
two 'herbal XTC' pills
half a litre of good 80 proof Russian vodka each evening.
Prescribed something called 'epilem' but neevr filled the script.
Now keep in mind I did spend 4 days at home walking in circles, falling over myself refusing to go to hospital in insane agony, obvious massive discomfort and delusional bouts of imagination of the most insane realities where enacting themselves believe me it was real to me. After 4 days of watching me not eat and degrade further (I would have still been taking my meds so increasing the problem exponentially) after 4 days of watching me walk in circles my fiancée of 8 years had me collected by ambulance, where upon doctors diagnosed a drug overdose- interjection..... I would rant here and ask what illegal drug does this shit right- ANY WAYS BACK ON TRACK after hours of arguing my fiancée finally convinced them ALL the myriad of symptoms - it was prescribed medications in prescribed doses and highly likely the dreaded 'seretonyn syndrome' (She is adamant this is the third time I have had SS, this being the worst by far- I have no recollection of the few days surrounding each of the previous two incidents she refers to).
So all in all I am lucky I am not a vegetable on life support apparently. I hope this helps someone- my doc has been in the game 45 years and never seen a bona fide case until now- and all the other doctors said exactly the same thing- they had often thought they had seen SS but inherently only ever extremely mild cases or the onset of the symptoms.
Stay saFE CATS.