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Correspondence
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Volume 346:1753 May 30, 2002 Number 22
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Acute Dystonic Reactions to "Street Xanax"

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To the Editor: Acute dystonic reactions have been reported after the ingestion of numerous medications that alter dopaminergic tone in the basal ganglia or antagonize dopamine D2 receptors. At the emergency department of an urban community hospital, we have recently treated six patients presenting with acute dystonia. All patients reported the ingestion of what street sellers had assured them was Xanax (alprazolam). In five of these patients, the ingested drug was actually proved to be haloperidol.

Three teenage boys presented to the emergency department with symptoms consistent with torticollis, oculogyric crisis, and opisthotonos. Each reported the ingestion of "one or . . . [Full Text of this Article]

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