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Given the risk of serotonin syndrome when methylene blue is used concomitantly with serotonergic drugs, it is crucial to monitor for symptoms such as mental status changes (e.g., agitation, hallucinations), autonomic instability (e.g., tachycardia, labile blood pressure), neuromuscular symptoms (e.g., tremor, rigidity), and gastrointestinal symptoms (e.g., nausea, diarrhea)

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