A schizophrenic client has been taking haloperidol (Haldol) for 20 months and has developed moderate extrapyramidal symptoms (EPS). The nurse anticipates the physician will likely prescribe what medication for EPS?

  • flumazenil (Anexate)
  • donepezil (Aricept)
  • naloxone (Narcan)
  • benztropine (Cogentin)
Number 4 is correct.
Benztropine (Cogentin) is an anticholinergic sometimes prescribed to reduce extrapyramidal side effects caused by first generation antipsychotics such as Haldol. Flumazenil is used to treat benzodiazepine overdose. Donepezil is an acetylcholinesterase inhibitor commonly prescribed for clients diagnosed with Alzheimer’s disease. Naloxone is an opioid antagonist.