Akathisia: Difference between revisions
(Add MedicationDose entries for diphenhydramine, benztropine) |
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==Management== | ==Management== | ||
*[[Diphenhydramine]] (50mg PO/IM/IV) OR benztropine (1-2mg IV)<ref>Pringsheim T, Gardner D, Addington D, et al. The Assessment and Treatment of Antipsychotic-Induced Akathisia. Can J Psychiatry. 2018;63(11):719-729. doi:10.1177/0706743718760288</ref><ref>Rice, J. CoreEM.net - Akathisia. https://coreem.net/core/akathisia/ Accessed: Oct 4, 2021.</ref> | *[[Diphenhydramine]] (50mg PO/IM/IV) OR benztropine (1-2mg IV)<ref>Pringsheim T, Gardner D, Addington D, et al. The Assessment and Treatment of Antipsychotic-Induced Akathisia. Can J Psychiatry. 2018;63(11):719-729. doi:10.1177/0706743718760288</ref><ref>Rice, J. CoreEM.net - Akathisia. https://coreem.net/core/akathisia/ Accessed: Oct 4, 2021.</ref> | ||
==Medication Dosing== | |||
{{MedicationDose | |||
| drug = Diphenhydramine | |||
| dose = 50mg PO/IM/IV | |||
| route = PO/IM/IV | |||
| context = Anticholinergic, first-line | |||
| indication = Akathisia | |||
| population = Adult | |||
}} | |||
{{MedicationDose | |||
| drug = Benztropine | |||
| dose = 1-2mg IV | |||
| route = IV | |||
| context = Anticholinergic, first-line | |||
| indication = Akathisia | |||
| population = Adult | |||
}} | |||
==Disposition== | ==Disposition== | ||
Latest revision as of 21:09, 20 March 2026
Background
- Defined as restlessness, inability to sit still, distressing disquiet
- Commonly caused as a medication side effect (e.g. prochlorperazine, droperidol)
Clinical Features
- Restlessness, inability to sit still, distressing disquiet
Differential Diagnosis
Evaluation
Workup
- Generally not required
Diagnosis
- Clinical diagnosis
Management
- Diphenhydramine (50mg PO/IM/IV) OR benztropine (1-2mg IV)[1][2]
Medication Dosing
Diphenhydramine 50mg PO/IM/IV PO/IM/IV Benztropine 1-2mg IV IV
Disposition
See Also
External Links
References
- ↑ Pringsheim T, Gardner D, Addington D, et al. The Assessment and Treatment of Antipsychotic-Induced Akathisia. Can J Psychiatry. 2018;63(11):719-729. doi:10.1177/0706743718760288
- ↑ Rice, J. CoreEM.net - Akathisia. https://coreem.net/core/akathisia/ Accessed: Oct 4, 2021.