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  #1  
Old 08-09-2011
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Drug Treatment of Neuroleptic Parkinsonism!

A 48-year-old female psychiatric patient has Parkinsonism secondary to long-term neuroleptic use. Which of the following medications might minimize her Parkinsonism?

A) Trihexyphenidyl (Artane)
B) Haloperidol (Haldol)
C) Methamphetamine
D) Thioridazine (Mellaril)
E) L-dopa
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Old 08-10-2011
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L-dopa.....?
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Old 08-10-2011
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trihexyphenetyl. . its d drug f choice for drug induced parkinson disease..
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Old 08-10-2011
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i think artane is the answer
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Old 08-10-2011
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A). anticholinergics like trihexyphenidyl nd benztropine are the DOC for antipsychotic induced PD
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Old 08-10-2011
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L dopa ...i think
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Old 08-10-2011
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Thioridazine, neuroleptic with lower potency
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Old 08-10-2011
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Smile Treatment of Neuroleptic Parkinsonism

The answer is A.

The drug of choice in treatment of Drug-induced Parkinsonism:
1- Benzotropine
2- Trihexphenidyl
(Both are muscarinic antagonist).

Levodopa/Carpidopa n' Bromocriptine are contraindicated because they cuz psychosis.
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Old 08-10-2011
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Quote:
Originally Posted by usmleman2020 View Post
A 48-year-old female psychiatric patient has Parkinsonism secondary to long-term neuroleptic use. Which of the following medications might minimize her Parkinsonism?

A) Trihexyphenidyl (Artane)
B) Haloperidol (Haldol)
C) Methamphetamine
D) Thioridazine (Mellaril)
E) L-dopa
the ans is switching the pt to antimuscarinic A
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Old 08-10-2011
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antimuscarinics
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The right choice is either Trihexyphenidyl or benztropine(antimuscarinic)
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Old 08-20-2011
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Quote:
Originally Posted by usmleman2020 View Post
A 48-year-old female psychiatric patient has Parkinsonism secondary to long-term neuroleptic use. Which of the following medications might minimize her Parkinsonism?

A) Trihexyphenidyl (Artane)
B) Haloperidol (Haldol)
C) Methamphetamine
D) Thioridazine (Mellaril)
E) L-dopa
what is the official right answer usmleman2020, with explanation please ! thanks
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Old 08-20-2011
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usmleman2020, Pls provide answer, thank you
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Old 08-21-2011
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I have read trihexyphenidyl can be used to treat neuroleptic parkinsons not sure though
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