Extrapyramidal symptoms (EPS)
- Identify the EPS phenotype first
- dystonia, akathisia, parkinsonism, TD
- Reduce/switch dopamine blocker when feasible
- Treatment differs by syndrome
- Antimuscarinics help dystonia/parkinsonism—not TD
- VMAT2 inhibitors treat tardive dyskinesia
Use at a glance
- Identify the EPS phenotype first
- dystonia, akathisia, parkinsonism, TD
Choosing treatment
- Reduce/switch dopamine blocker when feasible
Treatment options
- Treatment differs by syndrome
Practical pearls
- Antimuscarinics help dystonia/parkinsonism—not TD
- VMAT2 inhibitors treat tardive dyskinesia
Self-check
- What should be identified first in Extrapyramidal symptoms (EPS)?
the EPS phenotype.
- What is the first management step in Extrapyramidal symptoms (EPS)?
Identify the EPS phenotype.
Drugs used for this (6)
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