<s>[INST] zivox triggered serotonin syndrome I have been taking zivox for at least 2 wks, and now I have at least 3 symptoms of serotonin syndrome as listed by pubmed and Mayo clinic websites. symptoms such as over active (loud) bowel sounds and spasms, diarrhea, tachycardia, headache, and diaphoresis. what steps should I take now that I have this knowledge, is emergency intervention necessary? [/INST] Hello,I will suggest you to stop using zivox. Take oral rehydration salts mixed with drinking water. If you can't drink enough, then you can visit your nearest doctor to help you getting rehydrated.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist </s>