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WITHDRAWAL OF MAINTENANCE ANTIPARKINSON DRUG IN THE PHENOTHIAZINE-INDUCED EXTRAPYRAMIDAL REACTION

Published Online:https://doi.org/10.1176/ajp.118.4.350

A placebo was substituted for maintenance antiparkinson drug in 41 patients who had been given this medication for the control of phenothiazine-induced extra-pyramidal reactions. These reactions did not recur in 24 of the 41 patients (59%). Although recurrence rates will vary with different clinical situations, it is probable that a large proportion of patients do not require maintenance antiparkinson drug for continued clinical control of phenothiazine-induced extra-pyramidal reactions. Trials are recommended to determine which patients should or should not continue to receive maintenance antiparkinson drug.

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