Schizophrenia- Movement Disorders and Treatments Flashcards
Acute dystonia description and symptoms
Painful prolonged muscle contractions
Involuntary buccal, facial, oculogyric
May involve back, arms, and legs
Onset of acute dystonias
24-96 hours after dose change or drug started
High risk APs for acute dystonias
High potency or high dose FGA
Younger men
Acute dystonias treatment
anticholinergics, IM benzos, decrease dose or D/C
Pseuoparkinsonism description and symptoms
Bradykinesia
Tremor
Pill rolling
Cogwheel rigidity
Postural and oral abnormalities
Akinesia
Difficulty initiating movement
Slowness
Masked facial expression
Micrographia
Slowed speech
Decreased arm swing
Onset of pseudoparkinsonism
1-2 weeks after dose change or drug started
High-risk APs for pseudoparkinsonism
High potency or high dose FGA
Older age
Females
Pseudoparkinsonism treatment
Anticholinergics
Decrease dose or D/C
Akathisia description and symptoms
Restlessness, pacing, shuffling, compulsion to stay in motion, subjective feelings of distress
Akathisia onset
hours-days after start or dose change
High-risk APs for akathisia
High potency FGAs, aripiprazole, risperidone
Akathisia treatment
Beta-blockers, decrease dose or D/C
Tardive dyskinesia description and symptoms
Tongue thrusting, chewing, lip smacking, grimacing, limb twisting, rocking
Onset of tardive dyskinesia
Months-years after initiation, can be irreversible
Treatment of tardive dyskinesia
Prevention, D/C med
