Benztropine is an anticholinergic medication used to treat Parkinson's disease symptoms and drug-induced extrapyramidal reactions, such as dystonia and parkinsonism caused by antipsychotic medications.
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Dr. Steve Malen, PharmD
Dr. Steven Blikstein, PharmD
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Benztropine mesylate is an anticholinergic (antimuscarinic) agent that helps restore the balance between dopamine and acetylcholine in the brain, reducing tremor, rigidity, and muscle spasm associated with Parkinson's disease and drug-induced extrapyramidal symptoms (such as acute dystonic reactions from antipsychotic medications). It is typically dosed at 1 to 2 mg once or twice daily for Parkinsonism, or 1 to 4 mg once or twice daily for drug-induced extrapyramidal reactions, with doses individualized and started low. Common side effects include dry mouth, blurred vision, constipation, and urinary retention. Confusion and hallucinations may occur, particularly in elderly patients, who are more sensitive to anticholinergic effects. Benztropine is contraindicated in narrow-angle glaucoma, myasthenia gravis, and GI or urinary tract obstruction. Because it can reduce sweating, it should be used with caution in hot weather due to increased risk of heat stroke.
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Benztropine is an anticholinergic medication used to treat Parkinson's disease symptoms and drug-induced extrapyramidal reactions, such as acute dystonia caused by antipsychotic medications. It works by helping restore the balance between dopamine and acetylcholine in the brain.
Common side effects include dry mouth, blurred vision, constipation, and urinary retention. Confusion or hallucinations may occur, especially in elderly patients who are more sensitive to anticholinergic effects.
Contraindications: narrow-angle glaucoma, myasthenia gravis, and GI or urinary tract obstruction.
Because benztropine can reduce sweating, use caution in hot weather due to an increased risk of heat stroke or overheating.