15 Clear Warnings Your Body Might Be in Serotonin Overdrive
9. Seizures

Seizures are among the most severe symptoms of serotonin syndrome and indicate that the condition has progressed to a critical stage. They occur when excessive serotonin in the brain disrupts the normal electrical activity of neurons, leading to uncontrolled and abnormal bursts of energy. These seizures can range from short, mild convulsions affecting a specific area of the body to full-body seizures accompanied by unconsciousness. Patients who experience seizures as part of serotonin syndrome are at significant risk of further complications, including permanent neurological damage or death if untreated. Seizures are often preceded by other symptoms, such as high fever, rapid heart rate, and confusion, making these earlier signs critical for timely intervention. If a seizure occurs, immediate medical attention is required to stabilize the patient and address the underlying cause. Treatment may involve serotonin-blocking drugs and supportive care to prevent further complications.
10. Uncontrollable Shaking or Tremors

Tremors, or involuntary shaking, are a hallmark symptom of serotonin syndrome and often one of the first noticeable signs of nervous system overstimulation. These tremors are caused by an overabundance of serotonin triggering hyperactivity in the muscles and nerves. While mild shaking might initially appear localized—such as in the hands—it can spread to other areas of the body as the condition worsens. The severity of tremors can vary widely, from subtle twitching to pronounced and uncontrollable shaking that interferes with daily activities. These tremors are often accompanied by muscle stiffness, agitation, or restlessness, further compounding discomfort. For individuals experiencing tremors following medication changes, prompt medical evaluation is essential. Uncontrolled shaking that persists or worsens without treatment can escalate into more severe symptoms, such as muscle spasms or seizures, making early recognition and intervention critical.
