Emergency Psychiatry: Extrapyramidal Side Effects in the Psychiatric Emergency Service
| Autor: | John Kamin, Sumita Manwani, Douglas H. Hughes |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Psychosis
medicine.medical_specialty Akathisia Basal Ganglia Cholinergic Antagonists Benzodiazepines Basal Ganglia Diseases Humans Medicine Adverse effect Psychiatry Emergency Services Psychiatric Receptors Dopamine D2 business.industry Adrenergic beta-Agonists medicine.disease Personality disorders Psychiatry and Mental health Psychotic Disorders Schizophrenia Etiology Emergency psychiatry Cocaine intoxication Caudate Nucleus medicine.symptom business Akathisia Drug-Induced Antipsychotic Agents |
| Zdroj: | Psychiatric Services. 51:287-289 |
| ISSN: | 1557-9700 1075-2730 |
| DOI: | 10.1176/appi.ps.51.3.287 |
| Popis: | T benefits that neuroleptic medications provide in treating psychotic symptomatology in schizophrenia are well established (1). In addition, neuroleptic medications are often used to treat acute, psychotic episodes not related to schizophrenia, such as micropsychotic episodes among patients with personality disorders or posttraumatic stress disorder; acute psychosis from LSD, PCP, or cocaine intoxication; or psychotic states related to dementias and other neurological conditions. Neuroleptic medications are also often used for their acute sedative properties in treating agitated patients, both in psychiatric and nonpsychiatric settings. In tandem with the benefits of neuroleptic medications are significant risks associated with their use. These risks are primarily acute and chronic neurological adverse effects involving voluntary and involuntary musculature. This column focuses primarily on the acute side effects of neuroleptics, generally referred to as extrapyramidal side effects. These side effects are often seen as sequelae of acute neuroleptic treatment, often resulting in presentation to a psychiatric emergency service, such as an emergency room, a psychiatric emergency clinic in an emergency room, or a psychiatric consultation service in a general hospital. We discuss diagnosis, proposed etiology, and treatment of extrapyramidal side effects in the acute clinical setting. |
| Databáze: | OpenAIRE |
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