How to manage extra-pyramidal syndromes in routine clinical practice?



Publication Details

Garg, V., Garg, H. & Malesu, R. (2012). How to manage extra-pyramidal syndromes in routine clinical practice?. RANZCP 2012: New Zealand Conference: Winds of Change - Nga hau karure : Integrated Care (p. 45). New Zealand: The Conference Company.


Background: Extra-pyramidal Syndrome (EPS) are common phenomenon seen in our routine practice with the use of psychotropics. The newer anti psychotics, though have lesser EPS incidences when compared with first generation antipsychotics. Still, the EPS are regularly encountered in our clinical practice and managing them, forms the bread and butter of our practice. The emergence of EPS can influence compliance and treatment non adherence that further prolongs untreated psychosis. The EPS can present in many forms. Early identification and management is the key. Objectives/Methods: To raise the awareness about EPS in our clinical practice. We do a literature search and present some cases from our clinical experience. Findings: EPS can present in many forms such as acute dystonia, Parkinsonism, akathasia, neuroleptic malignant syndrome, serotonin syndrome and tardive dyskinesia to name a few. We present brief description on .each condition and the ways to manage them. Conclusions: EPS is common and every mental health professional should be aware of early identification and management.

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