A patient prescribed metoclopramide (Reglan)for 15 months develops these findings: uncontrolled rhythmic movement of the face,lip smacking,uncontrolled chewing,and rapid or wormlike movements of the tongue.What is your best action?

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Metoclopramide (Reglan)can cause tardive dyskinesia,a chronic disorder of the nervous system.Signs and symptoms include uncontrolled rhythmic movement of the mouth,face,or extremities;lip smacking or puckering;puffing of cheeks;uncontrolled chewing;and rapid or wormlike movements of the tongue.This adverse effect usually occurs after a year or more of continued use of these drugs and is often irreversible.If diagnosed early,tardive dyskinesia may be reversed by stopping the drug.

A Patient Prescribed Metoclopramide (Reglan)for 15 Months Develops These Findings