{"id":582,"date":"2020-01-19T11:37:55","date_gmt":"2020-01-19T10:37:55","guid":{"rendered":"http:\/\/cacophonie.eu\/?p=582"},"modified":"2020-01-19T11:41:31","modified_gmt":"2020-01-19T10:41:31","slug":"le-psy-vous-modi","status":"publish","type":"post","link":"http:\/\/cacophonie.eu\/index.php\/2020\/01\/19\/le-psy-vous-modi\/","title":{"rendered":"Le PSY Vous MoDi"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"707\" height=\"675\" src=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-0.png\" alt=\"\" class=\"wp-image-585\" srcset=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-0.png 707w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-0-300x286.png 300w\" sizes=\"(max-width: 707px) 100vw, 707px\" \/><\/figure>\n\n\n\n<p>Compte tenu de la part iatrog\u00e8ne majeur dans la survenue d&rsquo;un syndrome s\u00e9rotoninergique, il me paraissait important de faire un petit focus.  Car si les \u00e9quipes officinales maitrisent plut\u00f4t bien le syndrome grippal et poss\u00e8dent vaguement les bases du syndrome Parkinsonien, on constate que concernant le syndrome s\u00e9rotoninergique la connaissance officinale des signes cliniques est bien souvent absente. Cette m\u00e9connaissance peut amener \u00e0 n\u00e9gliger les signes \u00e9vocateurs de cette situation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"696\" src=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-1024x696.png\" alt=\"\" class=\"wp-image-591\" srcset=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-1024x696.png 1024w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-300x204.png 300w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-768x522.png 768w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-900x612.png 900w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-1280x870.png 1280w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI.png 1386w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>On retrouve ce syndrome essentiellement lors de <\/p>\n\n\n\n<ul><li>l&rsquo;association de plusieurs m\u00e9dicaments s\u00e9rotoninergique, <\/li><li>surdose d&rsquo;un m\u00e9dicament s\u00e9rotoninergique. <\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"955\" height=\"605\" src=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-2.png\" alt=\"\" class=\"wp-image-584\" srcset=\"http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-2.png 955w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-2-300x190.png 300w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-2-768x487.png 768w, http:\/\/cacophonie.eu\/wp-content\/uploads\/2020\/01\/Le-PSY-Vous-MODI-2-900x570.png 900w\" sizes=\"(max-width: 955px) 100vw, 955px\" \/><figcaption>Exemple de m\u00e9dicaments s\u00e9rotoninergiques <br>(non exhaustif, en particulier pour les antid\u00e9presseurs)<\/figcaption><\/figure>\n\n\n\n<p>  Vigilance donc lors<\/p>\n\n\n\n<ul><li>de l&rsquo;introduction de nouveaux traitements s\u00e9rotoninergiques,<\/li><li>lors des transitions entre deux m\u00e9dicaments s\u00e9rotoninergiques si le premier poss\u00e8de une longue demi-vie.<\/li><\/ul>\n\n\n\n<p><strong>R\u00e9f\u00e9rences :<br><\/strong>Illustration : <a href=\"https:\/\/catmic.itch.io\/return-of-the-tentacle\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (s\u2019ouvre dans un nouvel onglet)\">Return Of The Tentacle<\/a><\/p>\n\n\n\n<p>1. <em>Prescrire R\u00e9daction. Le syndrome s\u00e9rotoninergique. La Revue Prescrire. Suppl Inter M\u00e9dicamenteuses 2019<\/em> (306).<\/p>\n\n\n\n<p>2. <em>Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005;352 (1112-1120). <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compte tenu de la part iatrog\u00e8ne majeur dans la survenue d&rsquo;un syndrome s\u00e9rotoninergique, il me paraissait important de faire un petit focus. Car si les \u00e9quipes officinales maitrisent plut\u00f4t bien le syndrome grippal et poss\u00e8dent vaguement les bases du syndrome Parkinsonien, on constate que concernant le syndrome s\u00e9rotoninergique la connaissance officinale des signes cliniques est [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[22,18],"_links":{"self":[{"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/posts\/582"}],"collection":[{"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/comments?post=582"}],"version-history":[{"count":7,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/posts\/582\/revisions"}],"predecessor-version":[{"id":597,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/posts\/582\/revisions\/597"}],"wp:attachment":[{"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/media?parent=582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/categories?post=582"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/cacophonie.eu\/index.php\/wp-json\/wp\/v2\/tags?post=582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}