Which of these side effects of antipsychotics occur earlier than the others?
Answer:
Reference: The Maudsley Prescribing Guidelines in Psychiatry 12th Edition.
- A. Tardive dyskinesia
- B. Akathisia
- C. Parkinsonism
- D. Hypothyroidism
- E. Weight gain
Answer:
- Acute dystonia can occur within hours of starting antipsychotics (minutes if the IM or IV route is used)
- Tardive dystonia occurs after months to years of antipsychotic treatment.
- Acute akathisia occurs within hours to weeks of starting antipsychotics or increasing the dose.
- Tardive akathisia takes longer to develop and can persist after antipsychotics have been withdrawn.
- Tardive dyskinesia occurs in months to years.
- Weight gain may start early but it may not be evident for few weeks.
- Parkinsonism may take days to weeks after antipsychotic drugs are started or the dose is increased.
Reference: The Maudsley Prescribing Guidelines in Psychiatry 12th Edition.
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