Rabbit Syndrome

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P Bizouard - One of the best experts on this subject based on the ideXlab platform.

  • tricyclic antidepressant induced extrapyramidal side effects
    European Neuropsychopharmacology, 1997
    Co-Authors: Pierre Vandel, B. Bonin, E Leveque, D Sechter, P Bizouard
    Abstract:

    Two cases of tricyclic antidepressant-related extrapyramidal side effects are reported and, the authors review the literature describing these effects. Despite clear case reports, these side effects are not well known. Given the wide prescription of tricyclic antidepressants (TCA) and the low number of case reports, the prevalence of these side effects is indeed low, but clinical implications exist. The extrapyramidal symptoms induced by TCA alone are acute or tardive dyskinesia, akathisia, myoclonus, Rabbit Syndrome and dystonia. These symptoms seem to be non age-related, but often dose-related, and were responders to antiparkinsonian agents or propranolol. The factors that predispose an individual to the development of these side effects are not completely understood. Some risk factors such as prior exposure to neuroleptics and/or lithium or estrogens could facilitate the development of these side effects. In some cases, they can disappear even though the same dose of TCA is continued, and they do not seem to be a drug class reaction. The susceptibility of each individual patient to the development of these disorders may be limited to only one or a few of these agents.

Mishriky Raafat - One of the best experts on this subject based on the ideXlab platform.

  • Rabbit Syndrome: update on aetiology and management for pharmacists, psychiatrists and dentists
    'Current Research', 2019
    Co-Authors: Reyad, Ayman Antoun, Girgis Eriny, Mishriky Raafat
    Abstract:

    Rabbit Syndrome (RS) is an involuntary movement disorder, characterized by fast and fine movements of oral and masticatory muscles along the mouth vertical axis in the absence of tongue involvement. RS prevalence varies between 2.3% to 4.4% and could result from the administration of antipsychotics and antidepressants. In case of second generation antipsychotics, there is a reduced risk of RS compared with first generation antipsychotics with mainly isolated literature case reports especially with the use of risperidone as antipsychotic. RS affects only the buccal region, with the possible involvement of the basal ganglia, in particular the substantia nigra. The management of RS include reduction or change of the psychotropic treatment and use of anticholinergic medications such as trihexyphenidyl. Although RS is rare and easily treatable, it is essential that dentists and psychiatrists could distinguish this Syndrome from other movement disorders such as tardive dyskinesia

Pierre Vandel - One of the best experts on this subject based on the ideXlab platform.

  • tricyclic antidepressant induced extrapyramidal side effects
    European Neuropsychopharmacology, 1997
    Co-Authors: Pierre Vandel, B. Bonin, E Leveque, D Sechter, P Bizouard
    Abstract:

    Two cases of tricyclic antidepressant-related extrapyramidal side effects are reported and, the authors review the literature describing these effects. Despite clear case reports, these side effects are not well known. Given the wide prescription of tricyclic antidepressants (TCA) and the low number of case reports, the prevalence of these side effects is indeed low, but clinical implications exist. The extrapyramidal symptoms induced by TCA alone are acute or tardive dyskinesia, akathisia, myoclonus, Rabbit Syndrome and dystonia. These symptoms seem to be non age-related, but often dose-related, and were responders to antiparkinsonian agents or propranolol. The factors that predispose an individual to the development of these side effects are not completely understood. Some risk factors such as prior exposure to neuroleptics and/or lithium or estrogens could facilitate the development of these side effects. In some cases, they can disappear even though the same dose of TCA is continued, and they do not seem to be a drug class reaction. The susceptibility of each individual patient to the development of these disorders may be limited to only one or a few of these agents.

Reyad, Ayman Antoun - One of the best experts on this subject based on the ideXlab platform.

  • Rabbit Syndrome: update on aetiology and management for pharmacists, psychiatrists and dentists
    'Current Research', 2019
    Co-Authors: Reyad, Ayman Antoun, Girgis Eriny, Mishriky Raafat
    Abstract:

    Rabbit Syndrome (RS) is an involuntary movement disorder, characterized by fast and fine movements of oral and masticatory muscles along the mouth vertical axis in the absence of tongue involvement. RS prevalence varies between 2.3% to 4.4% and could result from the administration of antipsychotics and antidepressants. In case of second generation antipsychotics, there is a reduced risk of RS compared with first generation antipsychotics with mainly isolated literature case reports especially with the use of risperidone as antipsychotic. RS affects only the buccal region, with the possible involvement of the basal ganglia, in particular the substantia nigra. The management of RS include reduction or change of the psychotropic treatment and use of anticholinergic medications such as trihexyphenidyl. Although RS is rare and easily treatable, it is essential that dentists and psychiatrists could distinguish this Syndrome from other movement disorders such as tardive dyskinesia

B. Bonin - One of the best experts on this subject based on the ideXlab platform.

  • tricyclic antidepressant induced extrapyramidal side effects
    European Neuropsychopharmacology, 1997
    Co-Authors: Pierre Vandel, B. Bonin, E Leveque, D Sechter, P Bizouard
    Abstract:

    Two cases of tricyclic antidepressant-related extrapyramidal side effects are reported and, the authors review the literature describing these effects. Despite clear case reports, these side effects are not well known. Given the wide prescription of tricyclic antidepressants (TCA) and the low number of case reports, the prevalence of these side effects is indeed low, but clinical implications exist. The extrapyramidal symptoms induced by TCA alone are acute or tardive dyskinesia, akathisia, myoclonus, Rabbit Syndrome and dystonia. These symptoms seem to be non age-related, but often dose-related, and were responders to antiparkinsonian agents or propranolol. The factors that predispose an individual to the development of these side effects are not completely understood. Some risk factors such as prior exposure to neuroleptics and/or lithium or estrogens could facilitate the development of these side effects. In some cases, they can disappear even though the same dose of TCA is continued, and they do not seem to be a drug class reaction. The susceptibility of each individual patient to the development of these disorders may be limited to only one or a few of these agents.