DRUG STUDY

Prescribed and
BRAND NAME Recommended Mechanism
Nursing
GENERIC NAME dosage, frequency, Of Indication Contraindication Adverse Reaction
Responsibilities
CLASSIFICATION route of Action
administration
Brand Name: Blocks cholinergic  Hypersensitivit CNS:  Assess patient's gait
Akineton Extrapyramidal activity in the CNS, Adjunctive treatment y to biperiden Confusion, depression, and motor function
symptoms which is partially of all forms of  Narrow dizziness, to help document
Generic Name: Adult:As biperiden responsible for the Parkinson's disease, angle glaucoma hallucinations, antiparkinson
Biperiden HCl: 2 mg 1-3 times symptoms of including drug-induced  Ileus headache, sedation, effects, especially
daily. Parkinson's disease. extrapyramidal effects  Caution: People weakness. when starting drug
Classification: Restores the natural and acute dystonic with obstructive EENT: therapy, or during
Piperidines Elderly: balance of reactions. diseases of the Blurred vision, dry dosing changes or
Lower initial dose and neurotransmitters in the urogenital tract, eyes, mydriasis. addition of other
Therapeutic: increase gradually to CNS. people with a CV: antiparkinson
Antiparkinson agent the lowest effective known history Arrhythmias, drugs.
dose. of seizures and hypotension,  Assess heart rate,
those with palpitations, ECG, and heart
Pharmacologic: Parkinsonism potentially tachycardia. sounds, especially
Adult: As biperiden dangerous tach GI: during exercise.
Anticholinergics HCl: Initially, 2 mg 3-4 ycardia Constipation, dry
times daily, may mouth, ileus, nausea.  Assess blood
increase according to GU: pressure (BP)
response. Max: 16 Hesitancy, urinary periodically and
mg/day. retention. compare to normal
Elderly: Misc: values. Report low
Lower initial dose and Decreased sweating. BP (hypotension),
increase gradually to especially if patient
the lowest effective experiences
dose. dizziness, fatigue,
or other symptoms.

 Monitor confusion,
hallucinations,
depression, and
other psychologic
problems. Repeated
or excessive
symptoms may
require change in
dose or medication.