<h2 style="margin:1em 0px .25em;padding:0px;font-weight:normal;overflow:auto;border-bottom-color:#aaaaaa;font-family:'Linux Libertine', Georgia, Times, serif;"><span class="mw-headline" style="margin:0px;padding:0px;font-size:12pt;">Treatment</span><span class="mw-editsection" style="margin:0px 0px 0px 1em;padding:0px;font-size:small;vertical-align:baseline;line-height:1em;display:inline-block;font-family:sans-serif;"><span class="mw-editsection-bracket" style="margin:0px;padding:0px;color:#555555;font-size:12pt;">[</span><a target="_blank" href="http://en.wikipedia.org/w/index.php?title=Akathisia&action=edit§ion=8" title="Edit section: Treatment" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">edit</span></a><span class="mw-editsection-bracket" style="margin:0px;padding:0px;color:#555555;font-size:12pt;">]</span></span></h2> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><span style="margin:0px;padding:0px;font-size:12pt;">Akathisia is sometimes reversible once the causative agent has been identified and discontinued, but in some cases may become permanent.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-27" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">27</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">Case reports and small randomized studies suggest</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Benzodiazepine" title="Benzodiazepine" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">benzodiazepines</span></a><span style="margin:0px;padding:0px;font-size:12pt;">,</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Propranolol" title="Propranolol" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">propranolol</span></a><span style="margin:0px;padding:0px;font-size:12pt;">, and</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Anticholinergic" title="Anticholinergic" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">anticholinergics</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">may help treat acute akathisia, but are much less effective in treating chronic akathisia.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-Bratti-11" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">11</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup><span style="margin:0px;padding:0px;font-size:12pt;">Taylor et al. found success in lowering the dose of antipsychotic medication as an initial response to drug-induced akathisia,</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-MJ_Garcia-17" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">17</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">which should be done gradually, if possible.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-Bratti-11" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">11</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup><span style="margin:0px;padding:0px;font-size:12pt;">To minimize the risk of akathisia from antipsychotics, the clinician is advised to be conservative when increasing dosages.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-MJ_Garcia-17" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">17</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><span style="margin:0px;padding:0px;font-size:12pt;">If the patient is experiencing akathisia due to opioid withdrawal, and continuing use of opioids is not viable, drugs typically prescribed for acute idiopathic akathisia can be effective. GABA analogues</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Pregabalin" title="Pregabalin" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">pregabalin</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">and</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Gabapentin" title="Gabapentin" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">gabapentin</span></a><span style="margin:0px;padding:0px;font-size:12pt;">, as well as drugs approved for treating RLS, may also be effective in certain cases.</span><sup class="noprint Inline-Template Template-Fact" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><i style="margin:0px;padding:0px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span title="This claim needs references to reliable sources. (August 2014)" style="margin:0px;padding:0px;font-size:12pt;">citation needed</span></a></i><span style="margin:0px;padding:0px;font-size:12pt;">]</span></sup></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><span style="margin:0px;padding:0px;font-size:12pt;">One study showed</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Vitamin_B6" title="Vitamin B6" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">vitamin B</span><sub style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><span style="margin:0px;padding:0px;font-size:12pt;">6</span></sub></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">to be effective for the treatment of neuroleptic-induced akathisia.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-28" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">28</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><a target="_blank" href="http://en.wikipedia.org/wiki/Acetylcysteine" title="Acetylcysteine" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><i style="margin:0px;padding:0px;"><span style="margin:0px;padding:0px;font-size:12pt;">N</span></i><span style="margin:0px;padding:0px;font-size:12pt;">-acetylcysteine</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">also showed a positive effect on akathisia in a</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Randomized_control_trial" title="Randomized control trial" class="mw-redirect" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">randomized control trial</span></a><span style="margin:0px;padding:0px;font-size:12pt;">.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-29" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">29</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><span style="margin:0px;padding:0px;font-size:12pt;">Additional pharmacologic interventions found to have antiakathisia effects (especially for neuroleptic-induced akathisia) include</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Beta-adrenergic_antagonist" title="Beta-adrenergic antagonist" class="mw-redirect" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">ß-adrenergic antagonists</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">(e.g.,</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Propranolol" title="Propranolol" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">propranolol</span></a><span style="margin:0px;padding:0px;font-size:12pt;">), benzodiazepines (e.g.,</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Lorazepam" title="Lorazepam" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">lorazepam</span></a><span style="margin:0px;padding:0px;font-size:12pt;">), anticholinergics (e.g.,</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Benztropine" title="Benztropine" class="mw-redirect" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">benztropine</span></a><span style="margin:0px;padding:0px;font-size:12pt;">), and</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Serotonin_antagonist" title="Serotonin antagonist" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">serotonin antagonists</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">(e.g.,</span><span style="margin:0px;padding:0px;font-size:12pt;"> </span><a target="_blank" href="http://en.wikipedia.org/wiki/Cyproheptadine" title="Cyproheptadine" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">cyproheptadine</span></a><span style="margin:0px;padding:0px;font-size:12pt;">) as an alternative.</span><sup class="reference" style="margin:0px;padding:0px;line-height:1;font-size:11.1999998092651px;"><a target="_blank" href="http://en.wikipedia.org/wiki/Akathisia#cite_note-JM_Kane-16" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">[</span><span style="margin:0px;padding:0px;font-size:12pt;">16</span><span style="margin:0px;padding:0px;font-size:12pt;">]</span></a></sup></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><a target="_blank" href="http://en.wikipedia.org/wiki/Trihexyphenidyl" title="Trihexyphenidyl" target="_blank" style="margin:0px;padding:0px;text-decoration:none;color:#0b0080;background-image:none;"><span style="margin:0px;padding:0px;font-size:12pt;">Trihexyphenidyl</span></a><span style="margin:0px;padding:0px;font-size:12pt;"> </span><span style="margin:0px;padding:0px;font-size:12pt;">has also been prescribed to treat akathisia.</span></p> <p style="margin:.5em 0px;padding:0px;font-size:13px;line-height:inherit;color:#252525;font-family:sans-serif;"><span style="margin:0px;padding:0px;font-size:12pt;"><br></span></p> <p style="margin:.5em 0px;padding:0px;color:#252525;font-family:sans-serif;"><span style="font-size:16px;line-height:21.8181819915772px;">자유 게시판이라 써봅니다.번역을 좀 하실 줄 아시는 분이라면 부디 부탁드립니다.꾸벅.</span></p>
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