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. 2018 Jan 6;175(3):532–543. doi: 10.1111/bph.14105

Table 2.

Cases of serotonin syndrome reported, classified by opioid associated with report

Drug WHO database Medline database
Only suspected cause or among others Only suspected cause Number of published cases
Opioid
Tramadol 647 62 26
Tapentadol 115 42 1
Fentanyl 363 19 45
Dextromethorphan 86 7 12
Pethidine 66 6 5
Hydromorphone 41 3 2
Buprenorphine 20 3 1
Oxycodone 101 2 13
Methadone 93 2 3
Morphine 64 1 4
Codeine 32 0 0
Hydrocodone 6 0 2
Dihydrocodeine 4 0 0
Oxymorphone 3 0 0
Serotonergic drugs for the treatment of depression
Fluoxetine 641 181 54
Citalopram 777 178 57
Duloxetine 993 550 20
Venlafaxine 859 240 75