81. Facts You Should Know About NMS Facts You Should Know About NMS neuroleptic malignant syndrome (NMS).What is NMS? NMS is characterized by development of muscle http://www.dpw.state.pa.us/omr/omrNewmns.asp

Search OMR DPW Links DPW Home DPW Services Apply for Services ... Search DPW OMR Services The Community Mental Retardation System Transforming the MR System Overview FAQ Updates HCSIS ... Medicaid Waivers Quality Management PUNS OMR Budget Highlights Health Care HCQUs Health Risk Assessment Medical Alerts Early Intervention ... Contact OMR Facts You Should Know About NMS NEUROLEPTIC MALIGNANT SYNDROME (NMS) What is NMS? NMS is characterized by development of muscle rigidity and fever after taking an antipsychotic medication. There can also be changes in mental alertness, difficulty with drooling or swallowing, problems with blood pressure and sweating. What causes NMS? It is a rare but serious side effect of a drug from a category called neuroleptics or antipsychotics. These are typically used to treat psychotic disorders like schizophrenia. When does NMS occur? Typically, symptoms appear in the first 2 weeks after starting a neuroleptic or increasing the dosage of a neuroleptic. It may develop over hours or a few days. It also may occur at any time while on the medicine. Who is most likely to develop NMS?

82. Health Library - Neuroleptic Malignant Syndrome Your Health, Advanced Search. neuroleptic malignant syndrome. Synonyms Disorder SubdivisionsGeneral Discussion Resources National Organization for Rare Disorders. http://www.tetonhospital.org/library/healthguide/IllnessConditions/topic.asp?hwi

83. Psychiatrische Klinik Und Poliklinik- Projekt 3.5500.011 Translate this page The neuroleptic malignant syndrome. The neuroleptic malignant syndrome is a rarecomplication during therapy with neuroleptic and other psychotropic drugs. http://www.zv.uni-wuerzburg.de/forschungsbericht/e03/e035500/p011.htm

84. JEFF MANN'S EM GUIDEMAPS - NEUROLEPTIC SYNDROME Appendix. Research criteriae for neuroleptic malignant syndrome (from DSMIV). Alternativecriteriae for the diagnosis of neuroleptic malignant syndrome. http://www.homestead.com/emguidemaps/files/rigidity.htm

EM guidemap - Fever + rigidity + altered LOC Click on any of the headings or subheadings to rapidly navigate to the relevant section of the guidemap Introduction History of the present illness Summary of the clinical features differentiating NMS from SS Diagnostic testing ... Appendix Introduction - this guidemap has been designed to help an ED physician solve the diagnostic dilemma of "fever + rigidity + altered LOC" in an ED patient - this guidemap is mainly focused on helping the physician differentiate between neuroleptic malignant syndrome (NMS) and serotonin syndrome (SS) , with a lesser emphasis on other common causes of "fever + rigidity + altered LOC" History of the present illness - NMS usually develops over 24 - 72 hours , although it may progress more slowly over many days (3 - 10 days) in a patient taking a neuroleptic medication (* SS develops more abruptly within hours of a change in the dose of a provoking drug, or following the addition of an interacting drug eg. IM meperidine administered to a patient taking a MAOI) - NMS typically begins with mental status changes and muscular rigidity => hyperthermia and autonomic dysfunction - the mental status in NMS is always impaired and ranges from agitation => stupor => coma (* SS is usually associated with anxiety, restlessness , agitation or hypomania; and rarely with seizures or stupor/coma - the increased anxiety may be falsely misinterpreted as an exacerbation of the underlying condition requiring treatment with a SSRI)

85. Neuroleptic Malignant Syndrome During Olanzapine And Levomepromazine Treatment Julkaisu. Reference. Järventausta K, Leinonen E. Neuroleptic malignantsyndrome during olanzapine and levomepromazine treatment. http://www.hytti.uku.fi/tays/julkaisut/2000/200000438.html

Julkaisu Reference Järventausta K, Leinonen E. Neuroleptic malignant syndrome during olanzapine and levomepromazine treatment. Acta Psychiatr Scand Julkaisutiedot Julkaisutyyppi: Alkuperäisartikkeli. Kansainvälinen. Kieli: Englanti. Teksti/tiivistelmä: Publication data Publication type: Original scientific article. International. In English. Text/summary: Tekijät Contributors Tampereen yliopisto Lääketieteen laitos/psykiatria Esa Leinonen University of Tampere Medical School/Department of Psychiatry Esa Leinonen Tampereen yliopistollinen sairaala Psykiatrian yksikkö/psykogeriatrian klinikka Kaija Järventausta Esa Leinonen Tampere University Hospital Department of Geriatric Psychiatry Kaija Järventausta Esa Leinonen Julkaisutietokanta Publications Data Base

86. Directory :: Look.com neuroleptic malignant syndrome (6) See Also. Sites. Emergency Medicine An in depthlook at neuroleptic malignant syndrome beginning with an introduction. http://www.look.com/searchroute/directorysearch.asp?p=595060

87. 9.3.b. Bibliografia. Síndromes Hipertérmicos 8494 48.-LEIPSIC J ABRAHAM HD., HALPERIN P. neuroleptic malignant syndrome in theelderly Journal of Geriatric Psichiat and Neurol 1995; 828-31 49.- YOUNG http://www.uninet.edu/tratado/c0903b.html

Capítulo 9.3. Síndromes Hipertérmicos Bibliografía 1.-ROBERT J. Clinical Neurology. 1996. BLANCO Lippincott-Raven Publishers. 2.-CURLEY FJ, IRWIN R.S.: Disorders of temperature Control. Part 2 . Hypertermia In Intensive Care Medicine. Ed. Rippe JM, Little, Brown USA, 1996 pags 859-870 3.MARTIN ROMERO J.: Golpe de calor En: Libro de texto de Cuidados Intensivos. Ed. ELA S.L. Ginestal Gómez RJ 1991; 1343-1357 DRAKE D.K. et al: Recognition and management of heat-related illness. Nurse Practitioner. 1994;19(8):43-47 Di ROSA AE., MORGANTE L.: Epidemiology and pathoetiology of neurological syndromes with hypertermia. Funct. Neurol. 1995; 10:111-119 GALAN B., HOEKSTRA J.B.: Extremely elevated body temperature: case report and review of classical heat stroke. Netherlands Journal of Medicine 1995;47:281-287 ANG C., DAWES J.: The effects of hypertermia on human endotelial monolayers: modulation of thrombotics potential and permeability. Blood Coagul. And Fibrino. 1993; 5:193-199 GARCIA RUBIRA J., AGUILAR J.: Acute miocardial infarction in a young man after heat exhaustion.Int. J. Cardiol. 1995;47:297-300 AKHTAR M., AL-NOZHA M.

88. Virtual Naval Hospital: Emergency Psychiatry Service Handbook: Major Emergencies Medical Emergencies in Psychiatry neuroleptic malignant syndrome.Gerard Clancy, MD Peer Review Status Internally Peer Reviewed http://www.vnh.org/EmergPsychHB/MedEmergNMS.html

Emergency Psychiatry Service Handbook: Major Emergencies Medical Emergencies in Psychiatry: Neuroleptic Malignant Syndrome Gerard Clancy, M.D. Peer Review Status: Internally Peer Reviewed This is an idiosyncratic reaction, presumably due to acute dopamine blockade. Risk Factors Males, high environmental temperatures, high potency antipsychotics, initiation or recent increase in dose of antipsychotics, concurrent lithium treatment, dehydration, preexisting medical/neurologic illness, affective illness. Sewell DD, Jeste DV, chapter 12, Medical Psychiatric Practice, Vol I APPI 1991. Signs and Symptoms: Fever, rigidity, diaphoresis, dysphagia, labile blood pressure, increased pulse rate, altered mental state (delirium), increased white blood count, increased CPK, SGOT and LDH. Mortality reported from 5 to 20 %. Rhabdomyolysis results in Acute Renal Failure Thrombosis can lead to Pulmonary Embolism Onset is relatively sudden hours to days, which helps distinguish NMS from Lethal Catatonia. Treatment: Obtain medical consultation due to high mortality. Discontinue the antipsychotic immediately.

89. © POL.it 2001 AREA PSICOFARMACOLOGIA / CLOZAPINA Translate this page Anderson ES, Powers PS. neuroleptic malignant syndrome associated width clozapineuse. Das Gupta K, Young A. Clozapine-induced neuroleptic malignant syndrome. http://www.pol-it.org/ital/clozapina/smn.htm

GUIDA ALLA GESTIONE DEL TRATTAMENTO CON CLOZAPINA INDIETRO INDICE AVANTI SINDROME MALIGNA Lo spettro dei sintomi descritti comprende febbre BIBLIOGRAFIA Anderson ES, Powers PS. Neuroleptic malignant syndrome associated width clozapine use. J Clin Psychiatry 1991; 52: 102-104. Cassano GB, Lambertenghi Deliliers G, Pancheri P, Racagni G. Rivista di Psichiatria 1996; 31, 4(SUPPL): 9. Das Gupta K, Young A. Clozapine-induced neuroleptic malignant syndrome. J Clin Psychiatry 1991; 52: 105-107. Miller DD. Sharafuddin MJA, Kathol RG. A case of clozapine-induced neuroleptic malignant syndrome. J Clin Psychiatry 1991; 52: 23-25. Neuroleptic malignant syndrome after clozapine plus carbamazepine . Lancet 1988; 2: 1500. Pope HG, Cole JO, Chopas PT. Apparent neuroleptic malignant syndrome associated width cloapine and lithium J Nerv Ment Dis 1986; 174: 493-495. Repo E, Lepola U, Koponen H. Neuroleptic malignant syndrome. Five cases and a review. Nord Psychiatr Tidsskr 1989; 43: 475-478. Stoudemire A, Clayton. Successfull use of clozapine in a patient with a history of neuroleptic malignant syndrome. J Neuropsychatry 1989; 1: 303-305.

90. SEROTONIN SYNDROME This disorder, brought on by excessive levels of serotonin, is difficult to distinguishfrom the neuroleptic malignant syndrome because the symptoms are so http://members.aol.com/atracyphd/syndrome.htm

THE SEROTONIN SYNDROME "The symptoms of the serotonin syndrome are: euphoria, drowsiness, sustained rapid eye movement, overreaction of the reflexes, rapid muscle contraction and relaxation in the ankle causing abnormal movements of the foot, clumsiness, restlessness, feeling drunk and dizzy, muscle contraction and relaxation in the jaw, sweating, intoxication, muscle twitching, rigidity, high body temperature, mental status changes were frequent (including confusion and hypomania - a "happy drunk" state), shivering, diarrhea, loss of consciousness and death. (The Serotonin Syndrome, AM J PSYCHIATRY, June 1991) Return to Prozac: Panacea or Pandora? page. Return to International Coalition for Drug Awareness page.

91. Www3.health-center.com: Side Effects And Risks: Does Clozapine Cause NMS? Does clozapine cause NMS? Clozapine is an atypical neuroleptic drug that wasinitially thought not to cause neuroleptic malignant syndrome (NMS). http://www3.health-center.com/pharmacy/antipsychotics/clozapine/side_effects_a/n

Check out EndingSuicide.com! New Website on Suicide Prevention! Search Pages Sign In Become A Member Info Email Page ... Benefits of Clozapine Side Effects and Risks Side Effects and Risks Common side effects Rare Side Effects (part1) Rare Side Effects (part2) Rare side effects (part 3) Obsessions/Compulsions as Side Effect Clozapine and weight gain Does clozapine cause NMS? Does clozapine cause seizures? Clozapine and enuresis Clozapine and pregnancy Clozapine withdrawal Hyperprolactinemia and menstrual problems Other Mental Health Problems Prescribing Clozapine Clozapine Studies Side Effects and Risks Discussion View Bulletin Board or Add Message Zyprexa and criminal behavio... How to stop weight gain Search Messages Does clozapine cause NMS? Clozapine is an atypical neuroleptic drug that was initially thought not to cause neuroleptic malignant syndrome (NMS). Clozapine is now known to produce neuroleptic malignant syndrome. To date 14 cases have been reported. Can clozapine be used as treatment in cases of NMS? Clozapine has been used in patients with previous history of NMS (Weller, 1992, 8 cases) and also been successfully re-challenged after 6 months in a case of NMS due to clozapine (Chatterton, 1996), however caution is advised by these authors. References: Karagianis JL, Phillips LC, Hogan KP, LeDrew KK (1999). Clozapine-associated neuroleptic malignant syndrome: two new cases and a review of the literature.

92. TD Tardive Dyskinesia NMS Neuroleptic Malignancy Syndrome The NAMI/NYCMetro Web Site has moved to Please change your bookmarks and links. * * * The Schizophrenia Home Page is still at * * * You are also invited to visit the Treatment Advocacy Center http://www.schizophrenia.com/ami/meds/sidefx.html

The NAMI/NYC-Metro Web Site has moved to http://www.nami-nyc-metro.org Please change your bookmarks and links. The Schizophrenia Home Page is still at http://www.schizophrenia.com You are also invited to visit the Treatment Advocacy Center at http://www.psychlaws.org

93. An Analysis Of 17 Catatonic Patients Diagnosed With Neuroleptic Malignant Syndro TABLE 1. SUMMARY OF 17 CATATONIC PATIENTS DIAGNOSED WITH NEUROLEPTICMALIGNANT syndrome. Case, Age, Sex, Preneuroleptic Diagnosis (DSM http://www.medicalbroadcast.com/CMEReviews/catatonia/white1.html

TABLE 1. SUMMARY OF 17 CATATONIC PATIENTS DIAGNOSED WITH NEUROLEPTIC MALIGNANT SYNDROME Case Age, Sex Preneuroleptic Diagnosis (DSM III-R) Neuroleptic Dosage Postneuroleptic Diagnosis Time Lag to NMS After Initial Neuroleptic Dose Treatment Duration of NMS Outcome Post-NMS Diagnosis (DSM III-R) 25, F CM, CE Clothiapine 80mg, 2 doses IV NMS 72 hours Diazepam 14 days Recovered Nil CM, CE 20, M Clothiapine 80mg, 2 doses IV NMS 48 hours Diazepam 10 days Recovered Atypical psychosis 20, M CM, CE Clothiapine 80mg, 3 doses IV NMS 24 hours Diazepam 12 days Recovered BAD (manic) 48, F CM, CE Chlorpromazine 100mg, 1 dose IM NMS 48 hours Bromocriptine 20 days Recovered Depression 33, F CM, CE Clothiapine 80 mg, 1 dose IM NMS 48 hours Bromocriptine 10 days Recovered Nil 32, F CM, CE Haloperidol 10 mg, 1 dose IM NMS 24 hours Diazepam 7 days Recovered Nil 22, M CM, CE Haloperidol 10 mg, 6 doses PO NMS 48 hours Diazepam 5 days Recovered BAD (manic) 30, M CM, CE Fluphenazine decanoate 75 mg, 1 dose IM NMS 96 hours Bromocriptine 16 days Recovered Schizoaffective disorder 23, M

94. Katalog - Wirtualna Polska Serwis Katalog w Wirtualna Polska S.A. pierwszy portal w Polsce. http://katalog.wp.pl/DMOZ/Health/Conditions_and_Diseases/Neurological_Disorders/

Poczta Czat SMS Pomoc Szukaj.wp.pl: -Katalog -Polskie www -¦wiatowe www -Wirtualna Polska -FTP/Pliki -Grupy dyskusyjne -Encyklopedia -Produkty wp.pl Katalog Katalog ¦wiatowy DMOZ ... Brain Diseases > Basal Ganglia Fakty o Katalogu Pomoc Regulamin Serwis szukaj ... Ostatnio dodane NAWIGACJA Fakty o katalogu Pomoc Regulamin Serwis Szukaj ... FAQ Dodaj stronê Katalog WP Polskie Strony WWW Oferta dla firm WP-HIT ... Wirtualna Polska

95. PowerPoint ƒvƒŒƒ[ƒ“ƒe[ƒVƒ‡ƒ“ - ˆ««ÇŒóŒQ (neuroleptic Ma The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set. http://www1.linkclub.or.jp/~och-gim/NMS grand round.htm

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