doi: 10.7759/cureus.9100.Dib JE, Adams CE, Ikdais WH, Atallah E, Yaacoub HE, Merheb TJ, Kazour F, Tahan F, Haddad G, Zoghbi M, Azar J, Haddad C, Hallit S.F1000Res. In general practice, most reactions will have been caused by antiemetics. 2015 Jun 26;18(12):pyv064. Acute dystonic sideeffects were very common in the past when typical antipsychotics and dopamine antagonist antiemetics were more widely used. 2019 Aug 15;8:1442. doi: 10.12688/f1000research.19933.1. Popular American textsPromethazine, 25-50 mg intravenously or intramuscularly, has been used less frequently but it works and it is readily available in most emergency departments and doctors' bags. Antipsychotic-induced laryngeal dystonia has been reported predominantly in young males, but does not correlate to the dosage or the category of the drug. The growing use of atypical antipsychotics has led to a decrease of acute dystonic reactions (ADR). Antiemetics are usually avoided in children and need not be given for short-term problems such as gastroenteritis. 24 Jun 2020 There are no reports of acute laryngeal dystonia due to atypical antipsychotics. Touching certain parts of your body may cause spasms to stop temporarily. Unable to load your delegates due to an error doi: 10.1136/bcr-2013-010205. It may be a useful alternative for the uncommon patient who has both dystonia and significant anticholinergic symptoms from antipsychotic drugs. Dystonic reactions typically occur within the first few days of treatment and usually rapidly (eg within one hour) after a dose of an antipsychotic. Emergency medicine: concepts and clinical practice. Atypical antipsychotics carry a minimal risk, or no risk in the case of clozapine, of acute dystonic reactions. Treatment consists of the administration of anticholinergic agents. 2014 Oct 28;6(6):295-9. doi: 10.5539/gjhs.v6n6p295.BMJ Case Rep. 2013 Jul 8;2013:bcr2013010205. 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