PSYCHOBEHAVIORAL DISORDERS
TABLE 16.10. Serotonergic Potential of Various Drugs
EXTREMEPOTENCY MODERATEPOTENCY LOWPOTENCY NONE
Amitriptyline Amphetamine Amantadine Acetaminophen
Citalopram Buspirone Bromocriptine Granisetron
Clomipramine Cocaine Bupropion Metoclopramide
Dexfenfluramine Desipramine Carbamazepine Morphine
Dextromethorphan Doxepin Cisapride NSAIDs
Fenfluramine Levodopa Codeine Ondansetron
Fluoxetine LSD Pentazocine Salicylates
Fluvoxamine Mescaline Pergolide
Imipramine Mirtazapine Reserpine
Isocarboxazid Nefazodone
L-Tryptophan Nortriptyline
5-Hydroxytryptophan St. John’s wort‡
(5-HTP)‡
Lithium Sumatriptan
MDMA Trazodone
Meperidine
Moclobemide*
Pargyline†
Paroxetine
Phenelzine
Selegiline
Sertraline
Tramadol
Tranylcypromine
Venlafaxine
(Reproduced, with permission, from Tintinalli JE, Kelen, GD, Stapczynski SJ. Emergency Medicine:
A Comprehensive Study Guide, 6th ed.New York: McGraw-Hill, 2004:1038.)
*Not available in the United States.
†No longer manufactured in the United States.
‡Over-the-counter herbal product.
Note:The serotonergic potential of the drugs listed was determined by both objective and sub-
jective criteria and can be influenced by different doses and formulations.
Abbreviations:LSD = lysergic acid diethylamide; MDMA = 3,4-methylenedioxymethamphetamine;
NSAIDs = nonsteroidal anti-inflammatory drugs.