a pt on examination =diaphoretic n muscle rigidity ,taking some medication for anxiety n paranoia for 5 yrs ,now shows elevated BP n Creatine kinase ,bromocriptine makes her responsive now ............whts the medication she was taking??
peekay Forum Guru
Topics: 102 Posts: 588
05/04/04 - 08:55 AM
#2
WHAT IS THE ANSWER.
piter Forum Elite
Topics: 34 Posts: 191
05/04/04 - 09:31 AM
#3
MAO inhibitor?
mash Forum Fanatic
Topics: 147 Posts: 1,326
05/04/04 - 09:35 AM
#4
is this neuroleptic malignant syndrome? ___________________ I hear and I forget. I see and I remember. I do and I understand. --Confucius
oddissy4u Forum Guru
Topics: 107 Posts: 389
05/04/04 - 10:02 AM
#5
A. Clozapine B. Dantrolene C. Fluoxetine D. Quetiapene E. Thiothixine
mash Forum Fanatic
Topics: 147 Posts: 1,326
05/04/04 - 10:44 AM
#6
A clozapine? ___________________ I hear and I forget. I see and I remember. I do and I understand. --Confucius
oddissy4u Forum Guru
Topics: 107 Posts: 389
05/04/04 - 10:50 AM
#7
thothixine
mash Forum Fanatic
Topics: 147 Posts: 1,326
05/04/04 - 11:00 AM
#8
r u sure?bcoz thiothixene causes hypotension ....... above symptoms point towards neuroleptic malignant syn. which is due to neuroleptic drugs. i n this , there is ms rigidity , altered mental status, and autonomic dysfunction. The diagnosis is confirmed, but not necessarily excluded, by the presence of the following 5 criteria: Recent treatment with neuroleptics within past 1-4 weeks Hyperthermia (above 38°C) Muscular rigidity At least 5 of the following: Change in mental status Tachycardia Hypertension or hypotension Diaphoresis or sialorrhea Tremor Incontinence Increased creatinine phosphokinase (CPK) or urinary myoglobin Leukocytosis Metabolic acidosis Exclusion of other drug-induced, systemic, or neuropsychiatric illness ___________________ I hear and I forget. I see and I remember. I do and I understand. --Confucius
mjl1717 Forum Hero
Topics: 959 Posts: 5,467
05/04/04 - 05:47 PM
#9
Cause by
Halothane group, Succinylcholine, Haldol, Phenothaizines, ** Thiothixene is a traditional antipsychotic Lidocaine, Mepivicaine
Dantolene treats it.
Clozapine inhibits 5HT Fluoxetine is SSRI The one that begins with Q -I DO NOT know ___________________ Smell the coffee! "Is That an Osler move??"
mash Forum Fanatic
Topics: 147 Posts: 1,326
05/04/04 - 06:07 PM
#10
yeah it is thiothixene(bcoz it acts on DA receptors) Clozapine does not exhibit significant antagonism of D2 dopamine receptors in the nigrostriatal tracts so is less likely to cause NMS. ___________________ I hear and I forget. I see and I remember. I do and I understand. --Confucius
Rachana Forum Junior
Topics: 23 Posts: 52
05/18/04 - 03:43 PM
#11
"mash" wrote: yeah it is thiothixene(bcoz it acts on DA receptors) Clozapine does not exhibit significant antagonism of D2 dopamine receptors in the nigrostriatal tracts so is less likely to cause NMS.
I thought this was serotonin syndrome caused by SSRI like Fluoxetine??
