Drug-induced movement disorders (dystonia / akathisia / serotonin syndrome)

Appears 5×

Teaching point

Acute dystonia (oculogyric crisis/torticollis) from dopamine blockers (metoclopramide/antipsychotics) -> benztropine (anticholinergic). Akathisia -> reduce dose/switch antipsychotic, propranolol adjunct. Serotonin syndrome = clonus + hyperreflexia + agitation (vs NMS = lead-pipe rigidity + bradyreflexia + hyperthermia).

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