A patient was started on antipsychotic therapy with fluphenazine (Prolixin) a week ago. During a follow-up visit, the patient states an inability to sit still and is observed to be restless and fidget-ing in the chair.x
What is an accurate interpretation of this patient's behavior?
a. Dystonia
b. Parkinsonism
c. Akathisia
d. Tardive dyskinesia
ANS: C
Akathisia is an extrapyramidal symptom that is one of the adverse effects of antipsychotic drug therapy. It is best described as a subjective experience of restlessness, which can lead to muscle quivering, and restless movements and behavior. It generally occurs within the first 2 weeks of treatment. It affects all age groups, but affects women twice as frequently as men.
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