title: Acute dystonic reactions from "street Valium".
abstract: Four patients presented to the emergency department with acute dystonic reactions 36 hours after the ingestion of "Valium tablets" they purchased on the street. Complete reversal of the symptomatology was achieved with the use of intramuscular diphenhydramine. The pathophysiology, epidemiology, and treatment principles for dystonic reactions are discussed.
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D003975:Diazepam / Q000506:poisoning*; D004155:Diphenhydramine / Q000627:therapeutic use; D004421:Dystonia / Q000139:chemically induced* / Q000188:drug therapy; D004630:Emergencies; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000506:poisoning*; D008297:Male
chemical_list: D013287:Illicit Drugs; D004155:Diphenhydramine; D003975:Diazepam