Anticholinergics for acute dystonia

Anticholinergics for acute dystonia

Acute dystonia warrants immediate treatment since the symptoms can be quite distressing for the patient (and potentially life-threatening if the airways are involved). Anticholinergic drugs are given to try to restore balance in the nigrostriatal tract. Treatment options include biperiden

style="caret-color: #000040; color: #000040; font-family: Verdana, Arial; font-size: medium; background-color: #e4eaff;">and dexetimide. The response to these agents is usually immediate. If symptoms do not resolve within 15 to 30 minutes the dose should be repeated.

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For patients with severe dystonic reactions the best treatment is a dexetimide tablet.