listen to this one , I was in hospital not mental general for ops on my guts. Took all my meds in with me the nurses put them in a locker at the side of my bed and said they will give me them. I was out of it after the op for days they were giving me double that's 8mg Ativan a day and 40mg of Lexapro , Then when morphine was stopped I was given TRAMADOL on top off all the meds. SERATONIN syndrome BBBBBBBBBOOOOOMMMMMMMM I was of the radar pulling cafters out my body and my **** and was tripping like a good un , till someone when oooooooo tramadol an meds can cause this , my wife thought I was going back to the phyc ward. so nurse,s get med wrong to spelling meds is the least of your worries