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Neuroleptic malignant syndrome — GPhC CRA MCQ

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HardAdverse Drug Reactions and SafetyNeuroleptic malignant syndromeGPhC CRA

A 30-year-old man taking haloperidol develops fever, severe muscle rigidity, confusion, and autonomic instability. His partner asks whether to collect the next repeat prescription. What is the most appropriate action?

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Correct answer: B — Arrange emergency medical assessment for suspected neuroleptic malignant syndrome

Fever, rigidity, confusion, and autonomic instability in a patient taking an antipsychotic suggest neuroleptic malignant syndrome. This is a medical emergency requiring urgent assessment and stopping the causative medicine under medical care. Continuing or increasing haloperidol would be dangerous.

Reference: BNF; NICE CKS