Treating side effects of antipsychotics

Question 1

how to treat acute dystonia

Answer 1

IM anticholinergic (benztropine 2mg, diphenhydramine 50mg)

Question 2

how to treat drug induced parkinson’s

Answer 2

oral anticholinergic (benztropine, trihexphenidyl, diphenhydramine)

Question 3

how to treat akathisia

Answer 3

beta blocker (propranolol 1st line) or
benzo (lorazepam)

Question 4

how to treat tardive dyskinesia

Answer 4

can’t treat its permanent
VMAT inhibitors

Question 5

what are the 3 VMAT inhibitors

Answer 5

tetrabenazine
valbenazine
deutetrabenazine

Question 6

what are the main symptoms of neuroleptic malignant syndrome

Answer 6

high fever, tachycardia, labile BP, muscle rigidity

Question 7

what antipsychotics are most likely to cause metabolic effects

Answer 7

clozapine and olanzapine

Question 8

what antipsychotics are least likely to cause metabolic effects

Answer 8

ziprasidone, lurasidone, aripiprazole

Question 9

what to monitor for metabolic effects

Answer 9

PMH and FH
weight/waist circumference
BP
FPG/A1c
Fasting lipids

Question 10

what med can be given to help with metabolic effects from antipsychotics

Answer 10

metformin