A patient taking metoclopramide (Reglan) for the last 6 months develops uncontrolled rhythmic movement of the face, lip smacking, and rapid or wormlike movements of the tongue. What is your best action?

Question

Quizplus · Accepted Answer

The patient is exhibiting signs of tardive dyskinesia, a serious side effect of long-term metoclopramide use. The best action is to document the findings and contact the prescriber to discuss discontinuing or changing the medication. Obtaining a serum drug level is not necessary as the diagnosis is based on clinical findings. Asking about allergies or transferring the patient to the ICU is not indicated for this specific side effect.

A Patient Taking Metoclopramide (Reglan) for the Last 6 Months