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Betel nut-induced extrapyramidal syndrome: An unusual drug interaction

✍ Scribed by Martin Deahl


Book ID
102506997
Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
149 KB
Volume
4
Category
Article
ISSN
0885-3185

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✦ Synopsis


Two cases are described of chronic schizophrenic patients maintained on depot neuroleptics, who developed severe extrapyramidal symptoms following a period of heavy betel nut consumption. A mechanism for this effect is proposed based on the pharmacological antagonism of the anticholinergic agent, procyclidine, by the active alkaloid ingredient of the betel, arecoline.