What should be the focus of history in suspected medication-induced dystonic reactions?

Updated: Feb 19, 2018
  • Author: John Michael Kowalski, DO; Chief Editor: David Vearrier, MD, MPH  more...
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Answer

Risk factors for drug-induced dystonic reactions include a family history of dystonia, a recent history of cocaine or alcohol use, or treatment with a potent dopamine D2 receptor antagonist (eg, fluphenazine, haloperidol). [8, 9] Incecik et al report a case in which albendazole induced a dystonic reaction that cleared up with discontinuation of the drug. [6]

Obtain history from others if patient is not able to speak.

Obtain medication history, including new medications and/or dosage increases.


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