Parkinsonism (antipsychotic-induced)
- Reduce dose or switch antipsychotic if feasible
- Amantadine is useful, especially in older adults
- Antimuscarinics can help younger patients short-term
- Avoid chronic antimuscarinic burden when possible
- Levodopa usually conflicts with antipsychotic goal
- Distinguish drug-induced disease from idiopathic PD
Use at a glance
- Reduce dose or switch antipsychotic if feasible
Treatment options
- Amantadine is useful, especially in older adults
- Antimuscarinics can help younger patients short-term
- Distinguish drug-induced disease from idiopathic PD
Other treatment options
- Levodopa usually conflicts with antipsychotic goal
Safety / pitfalls
- Avoid chronic antimuscarinic burden when possible
Self-check
- What should generally be avoided in Parkinsonism (antipsychotic-induced)?
chronic antimuscarinic burden when possible.
- What medication adjustment should be considered first in Parkinsonism (antipsychotic-induced)?
Reduce the dose or switch antipsychotic.
Drugs used for this (2)
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