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- Title
Akathisia and oculogyric crisis in hyperemesis gravidarum.
- Authors
Morton, Adam; Mackle, Conor; Pavey, Julian
- Abstract
Hyperemesis gravidarum complicates 0.5–2% of pregnancies. HG is associated with insomnia, significantly increased risks of anxiety and depression, and may be associated with feelings of guilt, social isolation and thoughts of suicidal ideation or termination of pregnancy. Anti-emetic therapy may be complicated by akathisia and dystonic reactions, which may affect the ongoing management of nausea and vomiting. A case of akathisia and oculogyric crisis following the addition of parenteral prochlorperazine to ondansetron and metoclopramide is presented. The treatment options for extrapyramidal side effects with anti-emetics in pregnancy and for ongoing treatment of nausea and vomiting are discussed.
- Subjects
MORNING sickness; EYE muscles; ONDANSETRON; ANTIEMETICS; VITAMIN B1; OMEPRAZOLE; FETAL ultrasonic imaging; HYDROCORTISONE; TREATMENT effectiveness; PROCHLORPERAZINE; INTRAVENOUS therapy; ANTIHISTAMINES; TARDIVE akathisia; DYSTONIA; VITAMIN B6; VOMITING; METOCLOPRAMIDE; NAUSEA; PREGNANCY
- Publication
Obstetric Medicine (1753-495X), 2024, Vol 17, Issue 2, p129
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X221137942