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Psychiatry

Dystonia

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Introduction

Dystonic movements result from a slow sustained muscle contraction or spasm that can result in an involuntary movement and fixed posture involving the neck muscles, jaw, tongue, etc.

  • Involvement of eyes can result in oculogyric crisis.

Treatment

  • Promethazine (Phenergan 25-50 mg IM) or
  • Anticholinergic drugs—IM (Benzhexol) or
  • Diazepam 10 mg IV very slowly.