Uses: Schizophrenia, psychotic disorders, schizoaffective disorders, impulsive or
aggressive behavior in adolescents and adults, bipolar disorders to calm
Action: reduces release of dopamine.
Side effects: Extrapyramidal effects (Parkinson’s like tremor, dystonia-muscle tightening in neck and shoulder, akathisia-restlessness, pacing or fidgeting, shuffling gait), anticholinergic effects, weight gain (slows down the metabolization of carbohydrates and fats), sedation, orthostatic hypotension, lowers the seizure threshold, tardive dyskinesia (rolling of tongue), malignant neuroleptic syndrome (first symptom = very high fever 105-107, hold Rx, notify MD), photosensitivity, breast enlargement in men and women.
For postural hypotension, take BP lying and standing and record differences, teach client to get up slowly from lying to sitting to standing.
Monitor weight for changes a reason patients will not want to take the medication.
Why give Artane/Trihexyphenidyl, Cogentin/Benztropine to a pt with psychosis?
are used to treat the extrapyramidal symptoms that are caused by typical antipsychotic medications and are often prescribed with the medication.