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Antipsychotic extrapyramidal symptoms — GPhC CRA MCQ

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ModerateCNS TherapeuticsAntipsychotic extrapyramidal symptomsGPhC CRA

A 20-year-old man started haloperidol three days ago. He presents with painful neck twisting and upward eye deviation. His mother asks whether this is anxiety. What is the most appropriate action?

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Correct answer: C — Refer urgently for treatment of acute dystonia

Acute dystonia can occur soon after antipsychotic initiation, especially with high-potency agents. It is distressing and requires prompt treatment, often with an antimuscarinic medicine. Routine reassurance would be inappropriate.

Reference: BNF