Hiccups

Question 1

First line for intractable hiccups from cancer?

Answer 1

Chlopromazine

Question 2

What class of drug is chlopromazine?

Answer 2

A first-generation antipsychotic

Question 3

What caution should be taken when prescribing chlopromazine for hiccups?

Answer 3

It should be used at the lowest effective dose due to its potential side effects, such as extrapyramidal symptoms and sedation.

Question 4

What are extrapyramidal side effects?

Answer 4

Dystonic reactions: Abnormal movements of the face and body

Pseudoparkinsonism: Tremor, bradykinesia, and rigidity

Akathisia: Motor restlessness

Tardive dyskinesia: Late-onset movement disorder that can include lip-smacking and tongue rotating

Choreoathetoid movements: Movements of the head and neck

Twisting and gyrating: Movements of the whole bod

Question 5

Name two other drugs used for intractable hiccups?

Answer 5

Haloperidol and Gabapentin

Question 6

What is dystonia?

Answer 6

Dystonic reactions: Abnormal movements of the face and body caused by prolonged muscle contraction (e.g. like in leg cramps)

Question 7

List three features of pseudoparkinsonism

Answer 7

Pseudoparkinsonism: Tremor, bradykinesia, and rigidity

Question 8

What is akathisia?

Answer 8

Akathisia: Motor restlessness

Question 9

What is tardive dyskinesia?

Answer 9

Tardive dyskinesia: Late-onset movement disorder that can include lip-smacking and tongue rotating

Question 10

What are choreoathetoid movements?

Answer 10

Choreoathetoid movements: Movements of the head and neck

Question 11

What do you call lip smacking/tongue rotating?

Answer 11

Tardive dyskinesia

Question 12

What do you call abnormal movements in the face/body?

Answer 12

Dystonia

Question 13

What do you call motor restlessness?

Answer 13

Akathisia