— Akathisia is the most common form of EPS and present as side effect of anti-psychotics. It usually presents as motor restlessness with a compelling urge to move and an inability to sit still. Individuals with milder akathisia may describe a subjective feeling of restlessness but not show restless motor behavior.
Treatment options for akathisia include:
- A cautious antipsychotic dose reduction, if feasible, should be attempted first, with close monitoring of the patient for exacerbation of psychotic symptoms.
- If decreasing the antipsychotic drug dose is unfeasible or inadequate, then you treat with a benzodiazepine.
- If treatment with a benzodiazepine is not effective, a beta blocker such as propranolol can be used.