A 45 year old female was brought to casualty with stiff and deviation neck to one side. She has a history of haloperidol 5 mg tds prescribed one day back. She also has same altercation with her husband. Most common cause for this is
B. Acute psychosis
C. Acute drug dystonia
D. CVA
Ans. C.
Acute drug dystonia.
Explanation: Drug-induced dystonia is an acute extrapyramidal side
effect caused most commonly by typical antipsychotics. This involves large
muscle groups. Common manifestation is in the form of torticollis, lingual
dystonia, linguofacial dystonia. This side effect can occur in a single dose or
within the first week of initiating treatment. Treatment is benztropine,
promethazine, and hydroxyzine.
upto 12 wks Warfarin 3 mg tab upto 36
wks Heparin upto 7 days postpartum
