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Serotonergic Drugs The concomitant use of opioids with other drugs that affect the serotonergic neurotransmitter system, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), triptans, 5-HT3 receptor antagonists, drugs that affect the serotonin neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), certain muscle relaxants (i.e., cyclobenzaprine, metaxalone), monoamine oxidase (MAO) inhibitors (those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue), has resulted in serotonin syndrome [see PRECAUTIONS

Sawicka 2020) Common, mild to moderate AEs A 10-year follow-up (n=83) evaluation reported common AEs including fish odour, abdominal pain, diarrhoea, reflux, flatulence, low stamina (ungraded

Mohammed HS, Ghareeb MA, Aboushousha T, Heikal EA (2022) An appraisal of Luffa aegyptiaca extract and its isolated triterpenoidal saponins in Trichinella spiralis murine models

J., Kazmi, S., et al

Olive tree ( Olea europaea ) leaves: potential beneficial effects on human health