Cases That Test Your Skills

Visual hallucinations and severe anxiety in the ICU after surgery

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Bottom Line

Akathisia is an elusive adverse effect of antipsychotics and can be misdiagnosed as anxiety. Close consideration should be given to potential medical, psychiatric, and drug-related etiologies in patients who have a prolonged medical course, comorbidities, and exposure to multiple pharmacologic agents.

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Drug Brand Names

Amantadine Symmetrel
Benztropine Cogentin
Clonazepam Klonopin
Clonidine Catapres
Dexamethasone Decadron
Diazepam Valium
Diphenhydramine Benadryl
Gabapentin Neurontin
Haloperidol Haldol
Ketamine Ketalar
Lorazepam Ativan
Metoclopramide Reglan
Mianserin Tolvon
Midazolam Versed
Mirtazapine Remeron
Olanzapine Zyprexa
Propranolol Inderal
Rivastigmine Exelon
Trazodone Oleptro

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