Akathisia and an unusual symptomatic treatment: a case report.
We present a case of medication-induced akathisia in a 47-year-old woman with metastatic carcinoma of the ovary. Severe pacing and restlessness started after commencing a subcutaneous infusion with cyclizine 150 mg, haloperidol 2.5 mg and oxycodone 20 mg. She was also taking levomepromazine and fluoxetine orally at the time. By making changes to her medication, her symptoms resolved gradually. During the time of convalescence, she gained great symptomatic relief from using exercise pedals and it allowed her to go about usual everyday activities, such as eating and reading, while continuously treading the pedals.
Back
Ian
I
Palliative Medicine, Y Bwthyn Palliative Care Unit, Pontypridd, Wales, UK. ian.back@pallcare.info
Taubert
Mark
M
D017109:Akathisia, Drug-Induced / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003501:Cyclizine / Q000009:adverse effects*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005473:Fluoxetine / Q000009:adverse effects; D006220:Haloperidol / Q000009:adverse effects*; D006801:Humans; D008728:Methotrimeprazine / Q000009:adverse effects; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy; D010098:Oxycodone / Q000009:adverse effects*; D010166:Palliative Care; D016896:Treatment Outcome
D005473:Fluoxetine; D008728:Methotrimeprazine; D010098:Oxycodone; D006220:Haloperidol; D003501:Cyclizine