Rabbit syndrome

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Rabbit syndrome is a rare[1] form of extrapyramidal side effect of antipsychotic drugs in which perioral tremors occur at a rate of approximately 5 Hz. Rabbit syndrome is characterized by involuntary, fine, rhythmic motions of the mouth along a vertical plane, without involvement of the tongue,[2][3] and resembling the chewing movements of a rabbit.[4] It is usually seen after years of pharmacotherapy, and is more prominent with high potency drugs like haloperidol, fluphenazine, and pimozide. There is also a low incidence with thioridazine, clozapine, olanzapine, aripiprazole,[5] and low doses of risperidone.

Rabbit syndrome can be treated with anticholinergic drugs. It generally disappears within a few days of treatment but may re-emerge after anticholinergic treatment is stopped. Another treatment strategy is to switch the patient to an atypical antipsychotic with high anti-cholinergic properties.[3]

References[edit | edit source]

  1. , Prevalence of the rabbit syndrome, American Journal of Psychiatry, 1986, Vol. 143(Issue: 5), pp. 656–7, DOI: 10.1176/ajp.143.5.656, PMID: 2870650,
  2. , The rabbit syndrome. A peculiar extrapyramidal reaction, Canadian Psychiatric Association Journal, 1972, Vol. 17(Issue: 2), pp. Suppl 2:SS69–, DOI: 10.1177/07067437720176S213, PMID: 5042912,
  3. 3.0 3.1 , Newer antipsychotics and the rabbit syndrome, Clinical Practice and Epidemiology in Mental Health, 2007, Vol. 3, pp. 6, DOI: 10.1186/1745-0179-3-6, PMID: 17562001, PMC: 1914060,
  4. , Antipsychotic-induced rabbit syndrome: Epidemiology, management and pathophysiology, CNS Drugs, 2004, Vol. 18(Issue: 4), pp. 213–20, DOI: 10.2165/00023210-200418040-00002, PMID: 15015902,
  5. , Aripiprazole-induced rabbit syndrome in a drug-naive schizophrenic patient, Schizophrenia Research, 2008, Vol. 103(Issue: 1–3), pp. 341–2, DOI: 10.1016/j.schres.2008.01.008, PMID: 18262773,


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