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Antipsychotic extrapyramidal symptoms — GPhC CRA MCQ

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EasyCNS TherapeuticsAntipsychotic extrapyramidal symptomsGPhC CRA

A 45-year-old man started haloperidol last week and now has painful neck muscle spasms and abnormal eye movements. His partner asks the pharmacy for advice. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ERefer urgently for treatment of an acute dystonic reaction

Acute dystonia is a recognised extrapyramidal reaction with antipsychotics, especially soon after initiation. It can be distressing and may require urgent treatment with an antimuscarinic medicine. The patient should be assessed promptly rather than managed as simple muscle pain.

Reference: BNF