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18 The first step is to identify and stop the offending serotonergic medication(s), with supportive care to stabilise vital signs (maintenance of oxygen saturations, intravenous fluids, and continuous temperature cardiac monitoring), sedation with benzodiazepines (such as diazepam or midazolam), and in more severe cases, consideration of serotonin antagonists alongside muscle paralysis

Connectivity Map (CMap) A database developed at the Broad Institute (MIT/Harvard) that maps how thousands of compounds alter gene activity across the human genome

This allows you to track how your body responds without overwhelming your system

For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months