Good morning, I take 20 mg of bioxetin in the morning and 50 mg of pramolan in the evening, only I can not fall asleep. If I succeed, I wake up several times. In addition, every morning after waking up he vomits and around 5 pm. Can I take something extra for sleep and calming, e.g. melatonin?
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Anna Lewandowska Pharmacist, Editor
2 years ago
In this situation, please do not include the new drug in therapy. Please contact your doctor immediately. Vomiting is not a normal reaction. They can be a symptom of a disorder known as serotonin syndrome. Serotonin syndrome is manifested, m.in, confusion, agitation, fever, sweating, ataxia, hyperreflexia, muscle clonic seizures and diarrhea. This condition is distinguished by the so-called triad of symptoms, which includes: 1. Vegetative disorders, i.e. increase in blood pressure, fever, diarrhea, vomiting and mydriasis. 2. Psychiatric symptoms, consisting of anxiety disorders, feelings of anxiety and confusion. 3. Neuromuscular ailments, i.e. recurrent cramps, pain and increased muscle tone. If you have observed such side effects, you should inform your doctor, who will decide on how to proceed. If you are unable to get to your primary care doctor, the gdziepolek.pl Service also allows you to obtain a teleconsultation with a doctor: https://www.gdziepolek.pl/telekonsultacja