Neuroleptic Malignant Syndrome

Mnemonic

FALTER

F - fever

A - autonomic instability

L - leucocytosis

T - tremor

E - elevated CPK

R - rigidity

medical emergency!!!but rare

and NOT an allergic reaction

those who take HIGH POTENCY antipsychotic (eg: Haloperidol, Fluphenazine, Pimozide)

How to manage?

1. DISCONTINUE treatment
2. Supportive therapy
3. Pharmocotherapy

- Benzodiazepines

- Bromocriptine

- Dantrolene

- Amantadine