Movement disorders, dystonia Flashcards
1
Q
what is metoclopramide
A
dopamine receptor antagonist - blocks serotonin too at higher doeses
2
Q
potential side effects of metoclopramide
A
akathisia, dystonia, tardive dyskinesia
3
Q
metoclopramide is used
A
for nausea/vomiting sometimes for migraine headache
4
Q
acute dystonia
A
sustained muscular contractions resulting in twisting or abnormal postures
torticollus, retrocollis, oculogyhric crisis
5
Q
what is retrocollis
A
sustained contraction of posterior neck muscles resulting in neck extension and pain
6
Q
how to treat drug induced dystonia
A
stop offending agent give anticolinergics (benztropine, trihexyphenidyl) or agents with both anticholinergic and antihistamine effects like diphenhydramine
7
Q
haloperidol can
A
exacerbate acute extrapyramidal symtpoms.