Лікування гострих побічних ефектів нейролептиків
Symptoms | Treatment | Comments |
|---|---|---|
Acute dystonic reactions (eg, oculogyric crisis, torticollis) | Benztropine IV or IM Diphenhydramine IV or IM | Benztropine orally may prevent dystonia when given with an antipsychotic. |
Laryngeal dystonia | Lorazepam IV | Intubation may be needed. |
Akinesia, severe parkinsonian tremors, bradykinesia | Benztropine orally Diphenhydramine orally | In patients with akinesia, the antipsychotic may have to be stopped, and one with a lower potency used. |
Akathisia (with other extrapyramidal adverse effects) | Amantadine orally Benztropine orally Biperiden orally Procyclidine orally Propranolol orally Trihexyphenidyl orally | The causative antipsychotic should be stopped, a lower dose of that same medication may be given, or the antipsychotic can be switched to one with a lower propensity to cause extrapyramidal adverse effects. |
Akathisia associated with extreme anxiety | Lorazepam orally Clonazepam orally | — |