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Rahma Triyana
Universitas Baiturrahmah, Padang
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UNEXPECTED EXTRAPYRAMIDAL REACTION: ACUTE TARDIVE DYSKINESIA FOLLOWING SHORT-TERM METOCLOPRAMIDE USE IN A PATIENT WITH DIABETES AND CHRONIC KIDNEY DISEASE Helmizar, Roland; Yuri Haiga; Vina Tri Septiana; Nana Liana; Ruhsyahadati Ajisman; Rahma Triyana; Muhammad Rizki Saputra
Nusantara Hasana Journal Vol. 5 No. 7 (2025): Nusantara Hasana Journal, December 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i7.1781

Abstract

Tardive dyskinesia (TD) is a potentially irreversible extrapyramidal movement disorder characterized by involuntary, repetitive movements, predominantly affecting the orofacial region. Although most commonly associated with prolonged exposure to dopamine receptor–blocking agents, TD may also arise following the use of gastrointestinal prokinetics such as metoclopramide. Female sex, diabetes mellitus, advanced age, and renal impairment are recognized risk factors that increase susceptibility, yet TD remains underrecognized outside psychiatric settings. A 49-year-old woman with poorly controlled type 2 diabetes mellitus presented with nausea, vomiting, and generalized weakness. Laboratory findings demonstrated normocytic anemia, uncontrolled hyperglycemia (HbA1c 9.2%), and acute-on-chronic kidney disease (eGFR 22 mL/min/1.73 m²). She received standard supportive therapy, including intravenous metoclopramide. Within 24 hours, she developed repetitive tongue protrusion and orofacial dyskinesia. Neuroimaging and electrolyte evaluation were unremarkable, and there was no history of prior neuroleptic exposure. Metoclopramide was promptly discontinued, leading to gradual improvement and complete resolution of symptoms within two weeks. Antiemetic therapy was switched to ondansetron. This case underscores that acute TD may occur after short-term metoclopramide use, particularly in patients with diabetes and renal dysfunction. Heightened clinical awareness and cautious prescribing are essential to prevent this potentially disabling adverse effect.
Co-Authors Adelin, Prima Akbar, Resti Rahmadika Alief Dhuha Alif Dhuha Anandia Putriyuni Anggraini, Debie Annisa Lidra Maribeth Betty Fitriyasti1 Dhuha, Alief Dian Ayu Hamama Pitra Dian Puspita Dinda Muthia Efriza Febianne Eldrian Fionaliza Haiga, Yuri Helmizar, Roland Heru Herbianto Irma Primawati Irwadi, Irwadi Kendall Malik Kendall Malik Laura Zeffira Malik, Rifkind Melya Susanti Meta Oktora MHD NURHUDA MUHAMAD IVAN Muhammad Ivan Muhammad Riandi Muhammad Rizki Saputra Muhammad Rizki Saputra Muhammad Rizki Saputra, Muhammad Rizki Mutiara Anissa Nana Liana Nana Liana Nirmala Nirmala, Nirmala Nurwiyeni, Nurwiyeni Rahmaddian, Tosi Rinita Amelia Roland Helmizar Rosmaini Rosmaini, Rosmaini Ruhsyahadati Ajisman Ruhsyahadati Ajisman Ruhsyahadati Ruhsyahadati Ruhsyahadati, Ruhsyahadati Salmi Salmi Sri Wahyuni Suharni Suharni Thesa Andria Putri Utari Felia Anggaraini Vina Tri Septiana Wisda Widiastuti Yolanda Rahma Donni Yuni Handayani YUSTI SIANA Yusti Siana