- Antibiotic Prescribing In the Urgent Care14:13Paper Chase #1 | Temporal Artery Temperature Measurements Are Inaccurate7:13Medical Legal Risks Of Low Risk Chest PainFree Chapter23:49What Would I Do Next? | Lactic Acidosis From Glucophage14:59Paper Chase #2 | Forget The Pelvic Exam To Diagnose PID5:55Acute Eye Emergencies | Part 117:15Assessing Clinical Evidence22:11Community Acquired Pneumonia17:28Paper Chase #3 | Prevent Vasovagal Episodes In Pediatric Patients3:32Acute Eye Emergencies | Part 210:28Excellence in the Physical Exam Series | The Hip11:49Paper Chase #4 | A Decision Instrument To Rule Out SAH4:05Dystonic Reactions and Akathisias22:17Paper Chase #5 | Oral Fluconazole For Pregnant Patients With Yeast Infection4:47The Summary10:23
Acute extrapyramidal syndrome aka: drug-induced dystonias and akathisia are known side effects to commonly used medications that patients may be taking at home or that we may prescribe in the urgent care setting. The most commonly used medications that can lead to acute dystonia or akathisia include both first and second generation antipsychotic medications, like haloperidol or olanzapine, and antidopaminergic medications used to treat nausea, vomiting and headaches, like prochloperazine, promethazine, and metoclopramide. Additionally, several classes of antidepressants have also been shown to induce extrapyramidal symptoms (e.g. duloxetine, sertraline, escitalopram, fluoxetine, bupropion).