QuestionSBA
QuestionChoice
At the beginning of treatment, patients are usually given a dose at the lower end of the licensed range and then slowly titrate upwards within the dose range to lower the risks of side effects
34131
b
She will be given maximum dose at the start of treatment to ensure optimal control of her symptoms
QuestionChoice
Muscle stiffness and confusion are not normal side effects of haloperidol. Patients should stop taking the medication and seek immediate medical help because these signs are suggestive of neuroleptic malignant syndrome
34134
e
It is normal to experience muscle stiffness and confusion during the course of treatment
QuestionChoice
Haloperidol is an anti-psychotic that is used to treat schizophrenia and other psychoses. It is linked to extra-pyramidal effects such as akathisia due to it being a dopamine D2 receptor antagonist. Akathisia is a movement disorder associated with restlessness and inability to stay still
34130
a
Haloperidol can cause akathisia
QuestionChoice
Haloperidol is linked to hypotension rather than hypertension
34133
d
Haloperidol commonly causes high blood pressure
QuestionChoice
Hyperprolactinaemia is a common side effect of haloperidol. Hence, BNF advises to monitor prolactin concentration (not oxytocin concentration) at the beginning of therapy, at 6 months and then yearly
34132
c
She will have her oxytocin level measured as part of the baseline investigation
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2770
Typical antipsychotic
Topic
90
Psychiatry
6837
Case presentation: A 30-year-old woman attends the psychiatric clinic with her partner. She reports that she has been hearing voices talking about her and that her neighbor is plotting against her. She also believes that her mind is currently being controlled by the government and many random thoughts have been inserted against her wishes. She has been out of job for 6 months as a result of her current health situation. Her partner thinks that her beliefs are unfounded.  

The patient is advised to commence treatment with Haloperidol 2mg PO twice daily along with cognitive behavioural therapy.

Question: Select the most important information that should be provided for this patient.
a