Various drugs, mainly antipsychotics in psychiatry may induce movement disorders. These acute or tardive type movement disorders could either be in hypokinetic or in hyperkinetic form. There are other movement disorders in tardive type (e.g. tardive akathisia), besides the well-known tardive dyskinesia. Antipsyhotics drugs are thought to induce all types of akathisia. Drug-induced akathisia can only be diagnosed clinically with the characteristic subjective and/or objective symptoms of akathisia and a history of antipsychotics treatment as well as the exclusion of other medical or neurological conditions. Comorbid tardive movement disorders induced by long-term antipsychotic drug treatment could also be seen clinically. In this paper, a case whom was prescribed antipsychotic medication without having psychotic finding, and experienced movement disorders, was discussed. A 58-year old female patient presented with involuntary movements, urge to move, being spiritless, not enjoying life, boredom, reluctance, and sleeplessness. She had a history of various antipsychotic, antidepressant and anxiolytic drug use with different diagnoses during lthe last 5 years. She was diagnosed with major depression and in her examination there were orofacial dyskinesia, akathisia like movements in extremities and parkinsonian findings. Using seven different drugs (haloperidol, clorpromazine, zuklopentixole, risperidone, citalopram, mirtazapine, paroxetine) during 2 years in at different times with varying periods can be the cause of these movements. The patient had these complaints for three years, after this drug history. And the patient was accepted with tardive akathisia with parkinsonian findings in enclosure of tardive dyskinesia. When prescribing an antipsychotic drug, irreversible and unfavorable effects must be considered and using unnecessary antipsychotic drugs should be avoided.
Key words: Tardive dyskinesia, tardive akathisia, antipsychotics
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