title: Neuroleptic Malignant syndrome (NMS): a rare presentation induced by an antiemetic - case report.
abstract: Neuroleptic Malignant Syndrome is one of the life threatening complications of antipsychotic psychotropic medication. We here report a case of a 39 years old male who has had a diagnosis of paranoid schizophrenia since the age of 18. He had been on antipsychotic therapy since then. He was stable on a combination of antipsychotics. He had mild hyper-salivation for a long time but was not very concerned about it. He requested and was prescribed Hyoscine Hydrobromide 300 mcg BD for hyper-salivation. There was no other medication change. After 5 days of starting Kwells, the patient presented with Neuroleptic Malignant syndrome. One has to watch for NMS while starting Hyoscine Hydrbromide for someone on antispychotics.
authors: South Essex Partnership University Foundation Trust, Calnwood Court, Luton, Bedfordshire, UK.
authors: Gursharan Lal
authors: GL
authors: Kashyap
authors: Ashok G
authors: AG
authors: Patel
mesh_terms: D000328:Adult; D000932:Antiemetics / Q000009:adverse effects*; D014150:Antipsychotic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009459:Neuroleptic Malignant Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology; D012563:Schizophrenia, Paranoid / Q000150:complications* / Q000188:drug therapy; D012601:Scopolamine / Q000009:adverse effects*
chemical_list: D000932:Antiemetics; D014150:Antipsychotic Agents; D012601:Scopolamine