The possibility of obtundation, seizures, or dystonic reaction
of the head and neck following overdose may create a risk of aspiration with induced emesis.
Oculogyric crisis (OGC) is a type of acute dystonic reaction
which is usually a side effect of an antipsychotic treatment.
However, she experienced a mild reaction after the second procedure and a severe acute dystonic reaction
after the third.
The remaining child had a vague history of paraffin ingestion and signs of a dystonic reaction
due to an unknown toxin.
The patient later was released but experienced i a dystonic reaction
The surgeon attributed this to a dystonic reaction
from promethazine, administered a dose of IV diphenhydrAMINE, and admitted the child to a medical-surgical unit.
We report a case of a dystonic reaction
possibly triggered by propofol, which was managed successfully by turning the patient prone.
Key Words: oculogyric crisis, metoclopramide, dystonic reaction
A diagnosis of acute dystonic reaction
due to phenothiazine was made, the patient responding quickly and completely to anticholinergic medication.
The acute dystonic reaction
was successfully treated with benztropine.
After the last of these injections, the patient had a dystonic reaction
necessitating treatment with diphenhydramine and discontinuance of all phenothiazine and butyrophenone therapies.
METOZOLV ODT should be used with caution in patients showing acute dystonic reactions
, drug-induced Parkinsonism, or other extrapyramidal symptoms; neuroleptic malignant syndrome; with a prior history of depression; hypertension; congestive heart failure and ventricular arrhythmia.