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What is A 19 - year - old boy suffering from chronic Schizophrenia is put on haloperidol at the dose of 20 mg/day. A week after the initiation of medication the patient shows restlessness, fidgetiness, irritability and cannot sit still at one place. The most appropriate treatment strategy is: and explain in detail?
The history here is suggestive of akathisia AKATHASIA It is a subjectively unpleasant state of inner restlessness where there is a strong desire to move Signs and symptoms: foot stamping when seated constantly crossing/uncrossing legs rocking from foot to foot constantly pacing up and down Prevalence: Higher prevalence with typical antipsychotics Among atypical antipsychotics, most prevalent withAripiprazole Treatment: Beta blockers like propranolol (DOC) Anticholinergics and benzodiazepines can also be used