Metoclopramide-induced acute dystonic reaction: A case report

Authors

  • Shafiq Ur Rahman Department of Nursing, Sarhad University of Science and Information Technology, Peshawar, Pakistan
  • Rozina Roshan Department of Infection Prevention & Hospital Epidemiology, Aga Khan University Hospital, Karachi, Pakistan
  • Faheem Shaikh Department of Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.53685/jshmdc.v6i1.296

Keywords:

Metoclopramide, Dystonic Disorder, Adverse Effects

Abstract

Metoclopramide, a common antiemetic, is associated with extrapyramidal side effects. This case report describes a 19-year-old male with dengue fever who developed involuntary muscle contractions and respiratory distress two hours after receiving intravenous metoclopramide for nausea. Despite the rare incidence (0.2% of users), the patient exhibited severe extrapyramidal symptoms, which were managed with procyclidine. The case emphasizes the need for vigilance in monitoring patients receiving metoclopramide, as early recognition and treatment of such reactions are critical to prevent complications. Clinicians should be aware of these potential side effects when prescribing metoclopramide, especially in vulnerable populations.

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Published

06/27/2025

How to Cite

[1]
Rahman, S.U., Roshan, R. and Shaikh, F. 2025. Metoclopramide-induced acute dystonic reaction: A case report. Journal of Shalamar Medical & Dental College - JSHMDC. 6, 1 (Jun. 2025), 60–62. DOI:https://doi.org/10.53685/jshmdc.v6i1.296.