Co-prescribing of linezolid and serotonergic agents in a general hospital setting

Ir J Psychol Med. 2014 Sep;31(3):191-193. doi: 10.1017/ipm.2014.33.

Abstract

Background: Co-prescription of linezolid and serotonergic agents (SSRIs, SNRIs, NaSSA, TCAs) can lead to serotonin syndrome, this study seeks to identify prescribing practise of these agents.

Methods: Study of all general hospital inpatients prescribed intravenous linezolid in a 3-month period, using drug charts and clinical notes.

Results: Co-prescription occurred in 20% with SSRIs most frequently concurrently used. There were no cases of serotonin syndrome. There was no evidence in clinical notes of vigilance for potential interaction.

Conclusion: Co-prescription is common; awareness of potentially serious interaction is not evident in current practice.