2007 issue 3


Volume 16, issue 3

Case report

Extrapyramidal syndrome following metoclopramide treatment

Jerzy Matysiakiewicz1, Michał Błachut1, Karina Badura-Brzoza1, Tomasz Matysiakiewicz1
1. Katedra i Oddział Kliniczny Psychiatrii Śląskiej Akademii Medycznej w Tarnowskich Górach
Postępy Psychiatrii i Neurologii 2007; 16 (3): 263-264
Keywords: metoclopramide, EPS


Background. Metoclopramide, a drug widely used in common gastro-intestinal disturbances, shows also a dopaminolytic activity.
Case report. A 40-year-old woman treated with mianserine for depression, began receiving metoclopramide prescribed by a general practitioner to relieve dyspepsia. Within a week of the drug administration she developed dystonic-dyskinetic symptoms affecting the tongue and lips.
Commentary. Adverse side effects and complications of popular drugs (used also in self-treatment) are not commonly known. The report also sheds light on the difficulty in communication between physicians treating the same patient for different diseases.

Address for correspondence:
Dr Jerzy Matysiakiewicz
ul. Jordana 72c/6, 41-813 Zabrze
e-mail: jorg@skim.ws