{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:32:07Z","timestamp":1760711527537,"version":"3.41.2"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Delirium may be an uncommon side effect of withdrawal from benzodiazepines and opioids. A small number of case reports illustrate the catatonia and malignant catatonia linked to withdrawal from opioids and benzodiazepines. This case presentation showed the patient experienced symptoms similar to Neuroleptic Malignant Syndrome after abruptly stopping high doses of opioids and alprazolam after prolonged usage. This patient was a 54\u2010year\u2010old man in a northern Iranian city with dependency on 20\u201330\u2009mg of alprazolam and 120\u2013150\u2009mg of acetaminophen\u2010codeine daily for over a year and a half. The clinical difficulty of identifying and treating Neuroleptic Malignant Like Syndrome (NMLS), which is brought on by benzodiazepine and opioid withdrawal, is illustrated by this case.<\/jats:p>","DOI":"10.1002\/npr2.70020","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T12:22:52Z","timestamp":1746188572000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Benzodiazepine and Opioid Withdrawal Induced Neuroleptic Malignant Like Syndrome: A Clinical Case Report With Management Complexities"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3208-0734","authenticated-orcid":false,"given":"Behnam","family":"Abbasi","sequence":"first","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine, Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6872-481X","authenticated-orcid":false,"given":"Forouzan","family":"Elyasi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine, Mazandaran University of Medical Sciences  Sari Iran"},{"name":"Sexual and Reproductive Health Research Center, Psychiatry and Behavioral Sciences Research Center, Addiction Institute Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fateme","family":"Heydari","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine, Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roya","family":"Ghasemian","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance Research Center, Department of Infectious Diseases Mazandaran University of Medical Sciences  Sari Iran"},{"name":"Clinical Research Development Unit Of Imam Khomeini hospital Mazandaran University of Medical Sciences  Sari Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2021.2016342"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2324709620969498"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253\u20107176.217027"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v6.i4.391"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/npr2.12315"},{"volume-title":"Psychosomatic Medicine and Consultation\u2010Liaison Psychiatry","year":"2018","author":"Levenson J. 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