Management of Adverse Effects of Antipsychotic Medications

Question 1

Acute
dystonia
Onset

Answer 1

Hours to

days

Question 2

Acute

dystonia Symptoms

Answer 2

Muscle spasms, such as
torticollis, laryngeal
spasms, oculogyric crisis

Question 3

Acute

dystonia Treatment

Answer 3

Benztropine,
trihexyphenidyl,
diphenhydramine. They are anti ACH

Question 4

Akathisia Onset

Answer 4

Weeks

Question 5

Akathisia Symptoms

Answer 5

Generalized restlessness,
pacing, rocking, inability to
relax

Question 6

Akathisia Treatment

Answer 6

Reduce dose, beta
blockers, switch to
atypical medication,
benzodiazepine

Question 7

Tardive

dyskinesia Onset

Answer 7

Rare
before 6
months

Question 8

Tardive

dyskinesia Symptoms

Answer 8

Abnormal involuntary
movements of head, limb,
and trunk. Perioral
movements are the most
common. This is the Parkinsonism

Question 9

Tardive

dyskinesia Treatment

Answer 9

Switch to atypical
antipsychotic.
Clozapine has least
risk. Valbenazine is
FDA approved. u can also use the other anti ach aforementioned

Question 10

Neuroleptic
malignant
syndrome Onset

Answer 10

Not time

limited

Question 11

Neuroleptic
malignant
syndrome Symptoms

Answer 11

Muscular rigidity, fever,
autonomic changes,
agitation, and obtundation

Question 12

Neuroleptic
malignant
syndrome Treatment

Answer 12

Dantrolene or

bromocriptine

Question 13

amantadine

Answer 13

should be the wrong answer for EPS