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Artane Side Effects

Generic name: trihexyphenidyl

Medically reviewed by Drugs.com. Last updated on Jun 17, 2023.

Note: This document contains side effect information about trihexyphenidyl. Some dosage forms listed on this page may not apply to the brand name Artane.

Applies to trihexyphenidyl: oral elixir, oral tablet.

Serious side effects of Artane

Along with its needed effects, trihexyphenidyl (the active ingredient contained in Artane) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking trihexyphenidyl:

Rare

Incidence not known

Other side effects of Artane

Some side effects of trihexyphenidyl may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Incidence not known

For Healthcare Professionals

Applies to trihexyphenidyl: oral elixir, oral tablet.

General

The most commonly reported adverse reactions have included dry mouth, blurred vision, dizziness, nausea, and nervousness.[Ref]

Gastrointestinal

Rare (less than 0.1%): Suppurative parotitis, dilation of colon, paralytic ileus

Frequency not reported: Dry mouth, difficulty swallowing, anorexia, constipation, nausea, vomiting[Ref]

Isolated cases of suppurative parotitis secondary to excessive dryness of the mouth have been reported.[Ref]

Nervous system

Frequency not reported: Drowsiness, headache, choreiform movements, neuroleptic malignant syndrome (with abrupt discontinuation), paraesthesia, numbness of fingers and dyskinesia, chorea, dizziness[Ref]

Psychiatric

Toxic psychosis, when present, tends to occur quickly, generally within several days to a week of initiating therapy or within hours after an acute overdose. However, occasionally the onset may be delayed by months. Symptoms generally resolve spontaneously within a few days after the discontinuation of medication.

Psychiatric deterioration and psychotic flare-ups have also been reported following withdrawal of therapy. Symptoms include delusions, hallucinations, aggression or violent behavior, and suicidal tendencies. In high dosages, it may produce euphorigenic effects. For this reason, it can be a drug of abuse.[Ref]

Rare (less than 0.1%): Delusions, hallucinations, paranoia

Frequency not reported: Nervousness, restlessness, euphoria, unusual excitement, impairment of memory or forgetfulness, confusion or delirium, psychiatric deterioration and psychotic flare-ups, toxic psychosis, depression, anxiety, agitation, insomnia[Ref]

Ocular

Frequency not reported: Blindness, blurred vision, mydriasis, cycloplegia, glaucoma, angle-closure glaucoma, pupil dilation, increased intraocular pressure, photophobia[Ref]

Cardiovascular

Frequency not reported: Tachycardia, paradoxical sinus bradycardia[Ref]

Genitourinary

Frequency not reported: Urinary retention, urinary hesitancy, dysuria[Ref]

Other

Frequency not reported: Heat stroke, hyperthermia, heat intolerance, weakness[Ref]

Hypersensitivity

Frequency not reported: Allergic reaction, hypersensitivity

Dermatologic

Rare (less than 0.1%): Skin rash

Frequency not reported: Anhidrosis, dry skin

References

1. Product Information. Artane (trihexyphenidyl). Lederle Laboratories. 2001;PROD.

2. Baker LA, Cheng LY, Amara IB. The withdrawal of benztropine mesylate in chronic schizophrenic patients. Br J Psychiatry. 1983;143:584-90.

3. Kalman T, Warner GM. Protracted vomiting following abrupt cessation of psychotropics: a case report. Can Psychiatr Assoc J. 1978;23:163-5.

4. McEvoy JP, McCue M, Spring B, Mohs RC, Lavori PW, Farr RM. Effects of amantadine and trihexyphenidyl on memory in elderly normal volunteers. Am J Psychiatry. 1987;144:573-7.

5. Warne RW, Gubbay SS. Choreiform movements induced by anticholinergic therapy. Med J Aust. 1979;1:465.

6. Birket-Smith E. Abnormal involuntary movements induced by anticholinergic therapy. Acta Neurol Scand. 1974;50:801-11.

7. Koller WC. Disturbance of recent memory function in parkinsonian patients on anticholinergic therapy. Cortex. 1984;20:307-11.

8. Nomoto M, Thompson PD, Sheehy MP, Quinn NP, Marsden CD. Anticholinergic-induced chorea in the treatment of focal dystonia. Mov Disord. 1987;2:53-6.

9. Hauser RA, Olanow CW. Orobuccal dyskinesia associated with trihexyphenidyl therapy in a patient with Parkinson's disease. Mov Disord. 1993;8:512-4.

10. el-Yousef MK, Janowsky D, Davis JM, Sekerke HJ. Reversal of antiparkinsonian drug toxicity by physostigmine: a controlled study. Am J Psychiatry. 1973;130:141-5.

11. Glassman JN, Darko D, Gillin JC. Medication-induced somnambulism in a patient with schizoaffective disorder. J Clin Psychiatry. 1986;47:523-4.

12. West RR, Newgreen DB. Choreiform movements induced by anticholinergic therapy. Med J Aust. 1979;2:87-8.

13. Moreau A, Jones BD, Banno V. Chronic central anticholinergic toxicity in manic depressive illness mimicking dementia. Can J Psychiatry. 1986;31:339-41.

14. Yassa R. Antiparkinsonian medication withdrawal in the treatment of tardive dyskinesia: a report of three cases. Can J Psychiatry. 1985;30:440-2.

15. McEvoy JP, Freter S. The dose-response relationship for memory impairment by anticholinergic drugs. Compr Psychiatry. 1989;30:135-8.

16. Burnett GB, Prange AJ Jr, Wilson IC, Jolliff LA, Creese IC, Synder SH. Adverse effects of anticholinergic antiparkinsonian drugs in tardive dyskinesia. An investigation of mechanism. Neuropsychobiology. 1980;6:109-20.

17. Kiloh LG, Smith JS, Williams SE. Antiparkinson drugs as causal agents in tardive dykinesia. Med J Aust. 1973;2:591-3.

18. McEvoy JP. A double-blind crossover comparison of antiparkinson drug therapy: amantadine versus anticholinergics in 90 normal volunteers, with an emphasis on differential effects on memory function. J Clin Psychiatry. 1987;48(9 suppl:20-3.

19. Stephens DA. Psychotoxic effects of benzhexol hydrochloride (Artane). Br J Psychiatry. 1967;113:213-8.

20. Warnes H. Toxic psychosis due to antiparkinsonian drugs. Can Psychiatr Assoc J. 1967;12:323-6.

21. Trend P, Trimble M, Wessely S. Schizophrenic psychosis associated with benzhexol (artane) therapy. J Neurol Neurosurg Psychiatry. 1989;52:1115.

22. Wilcox JA. Psychoactive properties of benztropine and trihexyphenidyl. J Psychoactive Drugs. 1983;15:319-21.

23. Laski E, Taleporos E. Anticholinergic psychosis in a bilingual: a case study. Am J Psychiatry. 1977;134:1038-40.

24. Friedman Z, Neumann E. Benzhexol-induced blindness in Parkinson's disease. Br Med J. 1972;1:605.

25. Blumensohn R, Razoni G, Shalev A, Munitz H. Bradycardia due to trihexyphenidyl hydrochloride. Drug Intell Clin Pharm. 1986;20:786-7.

26. Johnson AL, Hollister LE, Berger PA. The anticholinergic intoxication syndrome: diagnosis and treatment. J Clin Psychiatry. 1981;42:313-7.

27. Hussey HH. Physostigmine: value in treatment of central toxic effects of anti-cholinergic drugs. JAMA. 1975;231:1066.

28. Kulik AV, Wilbur R. Delirium and stereotypy from anticholinergic antiparkinson drugs. Prog Neuropsychopharmacol Biol Psychiatry. 1982;6:75-82.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.