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Psychotic Meds (First Gen (Side effects (Anticholinergic: happens bc block…

- - - - Parkinsonian: resembles Parkinson's disease
        
        decreased facial expression
        
        resting tremor
        
        shuffling gait
        
        slowed movements
      - Dystonic: sustained muscle spasms
        
        frightening and painful
      - Akathisia: intense feeling of restlessness
        
        can be confused with psychotic agitation, which causes dr to ^ dose, which makes akathisia worse
      - management: reducing or switching; adding parkinsonian med
    - - dry membranes (like eyes and mouth)
      - blurred vision
      - intestinal slowing (constipation)
      - difficulty urinating
      - sedation
      - sexual dysfunction
    - - which leads to orthostatic hypotension (when they stand up, blood pressure drops precipitously, causing light-headedness and possible fall
    - - happens late in the course of tx or when meds are redused
      - gradually decreases but may stick round for years after meds are stopped