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Extrapyramidal side effects are most common with which neuroleptic?
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Teaching Points
- Extrapyramidal side effects are most common after haloperidol, perhaps because haloperidol is frequently prescribed in hospitals.
- Extrapyramidal side effects look Parkinson-like with akathisia and dystonia.
- The higher the dose of haloperidol, the more severe the dystonias. These symptoms can be reduced by decreasing dosage or using benztropine.
- However, in many cases, dystonias persist after the antipsychotic drug is stopped.
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