A 40 year old female who is know to be depressed has
recently been started on citalopram as she had shown no response to the
dosulepin that she had been taking earlier.
She presents with a history of diarrhoea and she is found
to be febrile, tremulous, tachycardic, hypertensive, confused and agitated.
This state is likely to be due to:
Concomitant use of alcohol
Combination of dosulepin and citalopram
Sudden withdrawal of treatment
Thyrotoxic crisis precipitated by the drugs