Serotonin Syndrome
Conditions
Keywords
Parkinson's Disease, Serotonin Toxicity, Rasagiline, Antidepressants, Chart Review, Retrospective
Brief summary
To identify the occurrence of serotonin toxicity in Parkinson's Disease (PD) patients receiving antidepressant therapy and rasagiline, compared to those receiving rasagiline without antidepressant medications and compared to PD patients receiving antidepressants, but not rasagiline.
Interventions
DRUGGroup R+AD Rasagiline + Antidepressant
Rasagiline and an antidepressant (SRIs, SNRIs, St. John's wort and/or TCAs) at least 14 days
DRUGGroup R Rasagiline
At least 2 months of rasagiline
DRUGGroup AD Anti-PD + Antidepressant
An approved dopaminergic medication for PD. (2 months of treatment with an antidepressant medication.
Sponsors
Teva Branded Pharmaceutical Products R&D, Inc.
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
1. Male or female patients with a diagnosis of PD 2. Rasagiline treatment as mono- or adjunct therapy for PD with concomitant antidepressant medication (SSRIs, SNRIs, St. John's wort and/or TCAs) at any time during the specified review period, OR Rasagiline treatment as mono- or adjunct therapy for PD without concomitant antidepressant medication (SSRIs, SNRIs, St. John's wort and/or TCAs) at any time during the specified review period. OR Antidepressant therapy (SSRIs, SNRIs, St. John's wort and/or TCAs) and any other dopaminergic anti-PD treatment besides rasagiline or selegiline at any time during the specified review period 3. Willing to consent to review of office chart and to review of records of ER visits and/or hospitalizations corresponding to the review window, if required 4. Patients previously participating in a rasagiline clinical trial (and their follow-up protocols) are eligible, provided that they did not receive antidepressant therapy during trial participation. 5. In addition to the above criteria, each group has specific inclusion criteria stated below: * Group R+AD: Enrollment in this group requires that patients must have taken rasagiline and an antidepressant (SSRIs, SNRIs, St. John's wort and/or TCAs, regardless of indication) within 14 days of each other (or five weeks, if fluoxetine preceded rasagiline). * Group R: Enrollment in this group requires patients must have at least 2 months of rasagiline use. * Group AD: Patients must be taking an approved dopaminergic medication for PD. Enrollment in this group requires that patients must have at least 2 months of treatment with an antidepressant medication.
Exclusion criteria
1. Use of rasagiline for any indication other than PD 2. Patients taking a monoamine oxidase inhibitor (MAOI) antidepressant and/or selegiline 3. Inability or unwillingness to request records of ER visits and/or hospitalizations corresponding to the review period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The frequency of serotonin toxicity, as determined by the Adjudication Committee will be calculated for each Group. The primary comparison will be Group R+AD vs. Group R and vs. Group AD | 9 months |
Outcome results
None listed