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Akathisia With Haloperidol and Thiothixene
Theodore Van Putten, MD;
Philip R. A. May, MD;
Stephen R. Marder, MD
Arch Gen Psychiatry. 1984;41(11):1036-1039.
Abstract
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• We studied the incidence of akathisia in two populations of newly admitted schizophrenic patients: one group was treated with haloperidol and the other group was treated with thiothixene hydrochloride. Within six hours after taking a 5-mg test dose of haloperidol, 40% of the patients experienced akathisia; during maintenance treatment with 10 mg of haloperidol taken at bedtime, 75% of the patients experienced akathisia by the seventh day. With thiothixene hydrochloride (0.22-mg/kg test dose; 0.44-mg/kg maintenance dose), the respective percentages were 20% and 46%. The akathisia experienced after administration of the test of haloperidol dose was not mild or inconsequential; 28% of the patients experienced moderate, 17% of the patients experienced severe, and 22% of the patients experienced very severe akathisia. Akathisia with haloperidol could not be suppressed completely in half of the patients. Treatment-resistant akathisia was experienced as anxiety and depression. We believe these tallies to be important because akathisia causes much misery and often goes undiagnosed.
Author Affiliations
From the Department of Psychiatry, Veterans Administration Medical Center, Brentwood Division, Los Angeles (Drs Van Putten and Marder); and the Neuropsychiatric Institute, UCLA School of Medicine (Drs Van Putten, May, and Marder).
Footnotes
Accepted for publication March 12, 1984.
Reprint requests to VA Medical Center, Brentwood Division, Wilshire and Sawtelle boulevards, Los Angeles, CA 90073 (Dr Van Putten).
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