Extrapyramidal Side Effects | Pseudoparkinsonism + Acute Dystonia + Akathisia + Tardive Dyskinesia 

In today’s video, we look at:
1) Pseudoparkinsonism (common in older women with neurological damage, gradual onset, symptoms include akinesia, rigidity and tremors, treatment includes switching to second generation antipsychotic drugs and anticholinergics)
2) Acute dystonia (young men are at highest risk, symptoms include oculogyric crisis, torsion dystonia, torticollis, spasm of lips + tongue + face + throat muscles, acute dyskinesia, grimacing, exaggerated posturing, twisting of the head/neck/jaw, trismus; treatment includes intramuscular anticholinergics)
3) Akathisia (onset is common after the 5th day of initiation of dopamine receptor antagonists, symptoms include restlessness and irritability, treatment includes anticholinergics for the acute phase, benzodiazepines for the chronic phase and propanolol for either phase)
4) Tardive Dyskinesia (elderly women with affective disorder, organic brain disorder, history of EPSE are at risk, symptoms include lip smacking, pelvic thrusting, chores form hand movements, treatment includes vitamin E and switching to second generation antipsychotics)