Severe akathisia as a side effect of metoclopramide.
METHODS
A case of severe metoclopramide-induced akathisia in a breast cancer patient being treated with chemotherapy is presented, eventually culminating in hospital admission. In retrospect, this adverse effect was not recognized for several weeks because the prescription had not been properly recorded in the chart, the patient initially denied using the drug, and extensive psychological adjustment difficulties were also present.


CONCLUSIONS
Movement disorders as an adverse effect of metoclopramide have been described on a regular basis over the past decades. Case reports such as this confirm there is under-recognition of adverse effects and emphasize the need to take a comprehensive medication history and recognize well known side effects of medications such as metoclopramide.
Yulius Academy, Yulius Mental Health, Mathenesserlaan 202, 3314 HH, Rotterdam, The Netherlands. a.vangool@yulius.nl
Arthur R
AR
Van Gool
Jeanette K
JK
Doorduijn
Caroline
C
Seynaeve
D017109:Akathisia, Drug-Induced / Q000175:diagnosis* / Q000523:psychology*; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008787:Metoclopramide / Q000009:adverse effects*; D008875:Middle Aged; D012720:Severity of Illness Index
D008787:Metoclopramide