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Research and Advances in Psychiatry

Haloperidol, an old antipsychotic with potential use by NPS users in Iraq

Mini-review, 81 - 84
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Abstract
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Introduction: Haloperidol is an archetype phenothiazine compound. The use of haloperidol has become limited for some psychotic disorders, including schizophrenia, bipolar disorder, and delirium.
The presence of several adverse reactions, particularly the extrapyramidal manifestations, and the advent of 2nd generation antipsychotic, led to the gradual recession of its use in psychiatry.
Case presentation: This patient discussed in this report is a 23-year-old female patient; she is completely healthy, apart from a history of substance abuse, particularly CNS depressant. The patient had access, without a medical prescription, to a potent phenothiazine, haloperidol. She deliberately took three 5 mg tablets altogether, which resulted in the presentation of the wry neck within few hours from the ingestion. The female was medically managed without any residual effects, and she was referred for a full psychiatric evaluation.
She was eventually diagnosed with a Borderline Personality Disorder.
Conclusion: The misuse of haloperidol in a young female, instigated by her Borderline Personality
Disorder, led to a spasmodic wry neck, a combination of two forms of torticollis, both rotational and anterocollis. This case is of an interesting intersect between clinical psychiatry and the esca-Research and Advances in Psychiatry 2016; 3(3):81-84 81
lating phenomenon of NPS. This incident represents the (re)emergence of the abuse potential of a potent phenothiazine. In the region of the middle east, haloperidol, phenothiazine, and other potent CNS depressant can be easily purchased without a legal medical prescription.
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