Dystonia (acute, antipsychotic-induced)
- Give parenteral antimuscarinic/antihistamine promptly
- benztropine or diphenhydramine
- Response is usually rapid
- Continue short oral coverage to prevent recurrence
- Laryngeal dystonia is an airway emergency
- Reduce/switch offending dopamine blocker when feasible
Use at a glance
- Give parenteral antimuscarinic/antihistamine promptly
- benztropine or diphenhydramine
Choosing treatment
- Reduce/switch offending dopamine blocker when feasible
Practical pearls
- Response is usually rapid
- Laryngeal dystonia is an airway emergency
Other practical pearls
- Continue short oral coverage to prevent recurrence
Self-check
- Which drug types should be given promptly for acute dystonia?
Parenteral antimuscarinic/antihistamine. - Which acute dystonia is an airway emergency?
Laryngeal dystonia.
Drugs used for this (2)
All clinical uses · Open Dystonia (acute, antipsychotic-induced) in the interactive console ↗