Potency Classification and Adverse Effect Profile
| Agent |
Dose Range |
Extrapyramidal Symptom Risk |
Sedation |
Anticholinergic |
Orthostatic Hypotension |
| Haloperidol |
2–20 mg/day |
High |
Low |
Low |
Low |
| Fluphenazine |
2–20 mg/day |
High |
Low |
Low |
Low |
| Perphenazine |
8–64 mg/day |
Moderate |
Moderate |
Low |
Moderate |
| Chlorpromazine |
200–1000 mg/day |
Low–Moderate |
High |
High |
High |
| Thioridazine |
200–800 mg/day |
Low |
High |
Highest |
High |
Extrapyramidal Syndromes — Time Course and Management
Onset: Hours to Days
Acute Dystonia
- Sustained muscle contractions, abnormal postures
- Oculogyric crisis, torticollis, opisthotonus
- Laryngeal dystonia — airway emergency
- Risk: young males, antipsychotic-naive patients
- Treat: Benztropine or diphenhydramine intramuscularly or intravenously — rapid effect
- Mechanism: Relative cholinergic excess from acute D2 blockade
Onset: Days to Weeks
Akathisia
- Subjective inner restlessness, urge to move
- Pacing, inability to sit still
- Leading cause of non-adherence
- Danger: mistaken for worsening psychosis → dose escalation worsens it
- Treat: Propranolol first-line; dose reduction; short-term benzodiazepines
- Note: Anticholinergics not first-line for akathisia
Onset: Weeks
Drug-Induced Parkinsonism
- Bradykinesia, rigidity, resting tremor
- Indistinguishable from Parkinson disease at examination
- Higher risk in elderly patients
- Dose-dependent; reversible with dose reduction
- Treat: Dose reduction preferred; benztropine or amantadine if needed
- Caution: Anticholinergics worsen cognition in elderly patients
Serious Adverse Effects — Neuroleptic Malignant Syndrome and Tardive Dyskinesia
Neuroleptic Malignant Syndrome
- Timing: Acute — days to weeks from initiation
- Tetrad: Hyperthermia + Lead-pipe rigidity + Autonomic instability + Altered consciousness
- Lab: Markedly elevated creatine kinase (rhabdomyolysis)
- vs. Serotonin syndrome: Rigidity + bradyreflexia (not hyperreflexia/clonus)
- Treatment: Stop antipsychotic immediately; dantrolene; bromocriptine; intensive care unit support
- Incidence: 0.01–0.02% — rare but life-threatening
- Timing: Late — months to years of exposure
- Movements: Repetitive, involuntary orofacial movements (lip smacking, tongue protrusion); choreiform limb movements
- Mechanism: D2 receptor upregulation (supersensitivity) from chronic blockade
- Risk factors: Older age, female sex, high-potency agents, longer duration
- Treatment: Minimize dose or switch; vesicular monoamine transporter 2 inhibitors (valbenazine, deutetrabenazine) for established cases
- May be irreversible — prevention is the goal
Potency Rule: High-potency agents (haloperidol, fluphenazine) = high extrapyramidal symptom risk, low sedation/anticholinergic burden. Low-potency agents (chlorpromazine, thioridazine) = lower extrapyramidal symptom risk, high sedation/anticholinergic/orthostatic burden. Potency predicts adverse effect profile, not antipsychotic efficacy.
Unique to thioridazine: QTc prolongation / torsades de pointes (hERG blockade) + pigmentary retinopathy at high doses. Last-resort agent requiring baseline electrocardiogram.